DR. BRADLEY WADE GILMAN (NPI# 1609940709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609940709 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY WADE GILMAN |
| Credential | M.D. |
| Practice Address |
402 Old State Hwy Cascade ID 83611 |
| Mailing Address |
491 E Ridge Dr Eagle ID 83616-5097 |
| Practice Telephone | 2083824242 |
| Practice Fax Number | 2083823580 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M-8735 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
402 OLD STATE HWY |
| City | CASCADE |
| State | ID |
| Zip Code | 83611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437221231 | Katherine Farmer | Physical Therapist | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-15 |
| 1265685762 | Nicole Denise Rota | Physician Assistant | 402 Old State Hwy, Cascade, ID 83611 | 2008-10-28 |
| 1124170337 | Gayle Eaton | Social Worker | 402 Old State Hwy, Cascade, ID 83611 | 2007-01-17 |
| 1558434951 | Jamey Mcinally | Physician Assistant | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861917551 | Skyler Tidd | Physical Therapist | 402 Lake Cascade Parkway, Cascade, ID 83611 | 2017-08-03 |
| 1841686649 | Cascade Dental, PC | Dentist | 839 S Main Street, Cascade, ID 83611 | 2015-04-09 |
| 1952540650 | Cascade School District #422 | Local Education Agency (LEA) | 209 N School Street, Cascade, ID 83611 | 2009-02-19 |
| 1962629527 | Cornerstone Family & Cosmetic Dentistry | Dentist | 220 South Main Street, Cascade, ID 83611 | 2007-04-18 |
| 1760586994 | Cascade Rural Fire Protection District | Ambulance | 109 E Pine, Cascade, ID 83611 | 2006-09-08 |
| 1740270610 | Linda S Guest | Nurse Practitioner | 514 Skyline Drive, Cascade, ID 83611 | 2005-10-24 |
| 1184282170 | Cascade Family Dental | Dentist | 839 S Main St, Cascade, ID 83611 | 2019-06-04 |
| 1356581326 | Two Rivers Dental | Clinic/Center | 220 S Main St, Cascade, ID 83611 | 2009-03-03 |
| 1225305212 | Kurt J Markuson Dmd | Dentist | 839 Main St, Ste1, Cascade, ID 83611-0760 | 2011-11-19 |
| 1740391762 | Watkins Pharmacy Inc | Pharmacy | 104 N Main St, Cascade, ID 83611-0797 | 2006-08-31 |
| Find all providers in zip 83611 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902134653 | James Harkness, D.o.p.c. | Family Medicine | 138 Antelope Ln, Cascade, MT 59421-8207 | 2009-11-18 |
| 1003988825 | Cascade Medical Center Hospital District | Family Medicine | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2006-11-15 |
| 1245556141 | Ron K Ellsworth | Family Medicine | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1750998126 | Story Family Medicine | Family Medicine | 1150 Alturas Dr Ste 101, Moscow, ID 83843-3263 | 2020-09-29 |
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1447880570 | Bore LLC | Family Medicine | 1498 Midway Ave Ste 2, Ammon, ID 83406-4587 | 2020-01-16 |
| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.