CHARLES EDWARD BRIOSCHI PA NPI 1083086870

NPI Information

  • NPI: 1083086870
  • Provider Name: CHARLES EDWARD BRIOSCHI, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 910 NW 16TH STREET
    STE 205
    FRUITLAND, ID
    ZIP 83619
  • Phone: (208) 452-3111

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NPI Details

Charles Edward Brioschi, PA is a medical physician assistant in Fruitland, ID. Charles Edward Brioschi, PA NPI is 1083086870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

910 NW 16TH STREET
STE 205
FRUITLAND, ID
ZIP 83619-265
Phone: (208) 452-3111
Fax: (208) 452-3666

The NPI 1083086870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2015 and was last updated on 2/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA-1317IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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