Bradley Arvel Hansen (NPI# 1114284825, PAC ID# 0042500423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1114284825 |
| PAC ID by PECOS | 0042500423 |
| Professional Enrollment ID | I20170630002688 |
| Full Name | Bradley Arvel Hansen |
| Organization Legal Name | CENTER FOR SIGHT PLLC |
| Address |
2295 Coronado St Idaho Falls ID 83404-7552 |
| Phone Number | 2085248600 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7719891209 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2295 Coronado St, Idaho Falls, ID 83404-7552 | 2085248600 | CENTER FOR SIGHT PLLC |
| Organization Legal Name | CENTER FOR SIGHT PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary W Wallace | Ophthalmology | Center for Sight Pllc | 2295 Coronado St, Idaho Falls, ID 83404-7552 |
| Douglas J Hilborn | Optometry | Center for Sight Pllc | 2295 Coronado St, Idaho Falls, ID 83404-7552 |
| Street Address |
2295 CORONADO ST |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-7552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary W Wallace | Ophthalmology | Center for Sight Pllc | 2295 Coronado St, Idaho Falls, ID 83404-7552 |
| Douglas J Hilborn | Optometry | Center for Sight Pllc | 2295 Coronado St, Idaho Falls, ID 83404-7552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | IDAHO FALLS + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.