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BRANDON A. WEST, D.O., PLLC

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Company Details

Name: BRANDON A. WEST, D.O., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Jul 2005 (20 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 135053
Place of Formation: IDAHO
File Number: 135053
ZIP code: 83201
County: Bannock County
Principal Address: 1133 CALL CREEK PLACE A POCATELLO, ID 83201
Mailing Address: 1133 CALL CREEK DR # A POCATELLO, ID 83201-3000

Agent

Name Role Address
ERIC L OLSEN Agent 201 E CENTER, POCATELLO, ID 83201

Manager

Name Role Address Appointed On
Brandon A West Manager 1133 CALL CREEK DR # A, POCATELLO, ID 83201 2021-08-10

National Provider Identifier

NPI Number:
1780808022
Certification Date:
2021-08-18

Authorized Person:

Name:
BRANDON A. WEST
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0000X - Adolescent Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2082321006

Filing

Filing Name Filing Number Filing date
Annual Report 0006302243 2025-06-06
Annual Report 0005762670 2024-06-05
Annual Report 0005304086 2023-07-05
Annual Report 0004803236 2022-07-05
Annual Report 0004376501 2021-08-10

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
118100.00
Total Face Value Of Loan:
118100.00
Date:
2012-05-31
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
167000.00
Total Face Value Of Loan:
167000.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$118,100
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$118,100
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$119,167.75
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $118,100

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Date of last update: 15 Jul 2025

Sources: Idaho Secretary of State