MR. BRADLEY L WALKER (NPI# 1871563007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871563007 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY L WALKER |
| Practice Address |
120 S Railroad Ave Pocatello ID 83204-3205 |
| Mailing Address |
5033 Redfish St Chubbuck ID 83202-3031 |
| Practice Telephone | 2082365215 |
| Practice Fax Number | 2082365201 |
| Mailing Telephone | 2082378376 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-85A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1164688800 | Bradley Stephen Walker | Dentist | 1434 E 4500 S Ste 102, Holladay, UT 84117-4252 | 2008-08-01 |
| 1366621310 | Bradley S. Walker | Physical Therapist | 5621 Corsica Rd, Ste C, Corpus Christi, TX 78414 | 2007-10-26 |
| 1538180138 | Bradley Dale Walker | Chiropractor | 4333 County Road 207, Millersburg, OH 44654-9127 | 2006-07-21 |
| 1194783530 | Bradley S Walker | Preventive Medicine | 1735 N Nellis Blvd Ste G, Las Vegas, NV 89115-3671 | 2006-05-03 |
| 1003889460 | Bradley J Walker | Optometrist | 2242 W 16th St, Safford, AZ 85546-4081 | 2006-02-08 |
| 1467812362 | Bradley Walker | Counselor | 74 Pond St, Braintree, MA 02184-5337 | 2016-03-04 |
| 1114219441 | Bradley A Walker | Emergency Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-05-04 |
| 1952583502 | Bradley Troy Walker | Chiropractor | 1580 King Ave, Suite 204, Columbus, OH 43212-2058 | 2007-12-05 |
| Street Address |
120 S RAILROAD AVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432062 | Dennis A Stoddard | Pharmacist | 120 S Railroad Ave, Pocatello, ID 83204-3205 | 2006-01-19 |
| 1972583268 | Garrilyn Howard | Licensed Practical Nurse | 120 S Railroad Ave, Pocatello, ID 83204-3205 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183388 | Health Innovations, LLC | Nurse Practitioner | 240 N 18th Ave, Pocatello, ID 83201-3324 | 2020-08-06 |
| 1285295634 | Rebekah Lucero | Nurse Practitioner | 2185 Steven St, Pocatello, ID 83201-1928 | 2019-06-26 |
| 1285199869 | Jason Knighton | Nurse Practitioner | 5800 S 5th Ave, Pocatello, ID 83204-2205 | 2019-02-07 |
| 1356812945 | Dellisa Dawn Eddington | Nurse Practitioner | 6000 S 5th Ave, Pocatello, ID 83204-5075 | 2018-12-08 |
| 1457839730 | In Balance: Integrative Primary Healthcare Pllc | Nurse Practitioner | 1017 E Young St, Pocatello, ID 83201-5237 | 2018-07-30 |
| 1851885420 | Jordan Clay Chapman | Nurse Practitioner | 777 Hospital Way Ofc Bldg, Pocatello, ID 83201-2797 | 2018-06-18 |
| 1356846398 | Paul Haislip | Nurse Practitioner | 340 N 14th Ave, Pocatello, ID 83201-4118 | 2018-03-29 |
| 1568906865 | Dustin Reno | Nurse Practitioner | 1155 Yellowstone Ave Ste D, Pocatello, ID 83201-4369 | 2016-12-06 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| Find all providers in POCATELLO | ||||
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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.