BRADLEY RADFORD


Address: 2001 S Woodruff Ave Ste 15b, Idaho Falls, ID 83404-6372
Phone: 2083574633

BRADLEY RADFORD (NPI# 1871191254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871191254
Entity Type Individual
Full Name BRADLEY RADFORD
Credential FNP-BC
Practice Address 2001 S Woodruff Ave Ste 15b
Idaho Falls
ID 83404-6372
Practice Telephone 2083574633
Mailing Telephone 2083574633
Enumeration Date 2020-10-16
Last Update Date 2020-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
66122 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2001 S WOODRUFF AVE STE 15B
City IDAHO FALLS
State ID
Zip Code 83404-6372

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629128483 Victoria L Blair Nurse Practitioner 2001 S Woodruff Ave Ste 15b, Idaho Falls, ID 83404-6372 2007-01-11
1720687106 Sunny Raichart Nurse Practitioner 2001 S Woodruff Ave Ste 15b, Idaho Falls, ID 83404-6372 2020-10-18
1346884889 J'lene Ward Family Medicine 2001 S Woodruff Ave Ste 15b, Idaho Falls, ID 83404-6372 2019-10-28
1134620107 Family Medicine Hub Pllc Nurse Practitioner 2001 S Woodruff Ave Ste 15b, Idaho Falls, ID 83404-6372 2018-02-26

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NPI Name Taxonomy Address Enumeration
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1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619416674 Kathryn Nielsen Nurse Practitioner 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 2017-02-22
1174955306 Bryce Wade Andersen Nurse Practitioner 2730 Channing Way, Idaho Falls, ID 83404-5049 2013-07-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891308094 Brandon Paul Kruse Nurse Practitioner 3345 S Fork Ave, Nampa, ID 83686-4855 2020-08-26
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1558986521 Lisa Kay Stimpson Nurse Practitioner 1605 Poen Rd, Kuna, ID 83634-1743 2020-06-15
1730714049 Care Medical Housecalls PC Nurse Practitioner 2040 E Holgate Ct, Eagle, ID 83616 2020-03-06
1295372308 Elizabeth Balleweg Nurse Practitioner 2306 N 31st St, Boise, ID 83703-5628 2019-12-09
1891264545 Tina Monique Bossolono-williams Nurse Practitioner 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 2018-11-23
1821525452 Kristin Meshelle Hofmann Nurse Practitioner 420 W Main St Ste 206, Boise, ID 83702-7363 2017-05-14
1992237648 Candice Elaine Adams Nurse Practitioner 5108 N Maidstone Way, Boise, ID 83713-1367 2017-03-31
1851832695 Penny Rea Nurse Practitioner 5307 Green Valley Pl, Nampa, ID 83686-5790 2017-03-13
1891176798 Christine Cooper Nurse Practitioner 35 W Idaho St, Weiser, ID 83672 2015-06-16
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Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

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.

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