Bradley Wescott Terry (NPI# 1871973198, PAC ID# 7214223510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1871973198 |
PAC ID by PECOS | 7214223510 |
Professional Enrollment ID | I20180522000676 |
Full Name | Bradley Wescott Terry |
Organization Legal Name | WEISER VALLEY HOSPITAL DISTRICT |
Address |
360 E Liberty St Weiser ID 83672-2261 |
Phone Number | 2085490370 |
Gender | M |
Graduation Year | 2016 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5294704276 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
131307 | WEISER MEMORIAL HOSPITAL |
130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
360 E Liberty St, Weiser, ID 83672-2261 | 2085490370 | WEISER VALLEY HOSPITAL DISTRICT |
Organization Legal Name | WEISER VALLEY HOSPITAL DISTRICT |
Physicians | 19 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian L Mcmahan | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Andrea K Wheeler | Nurse Practitioner | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Einav Shochat | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
John C Kirkham | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Cody J Boyce | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
John S Waltz | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Blake D Niederhauser | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Michael A Fuchs | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Michael J Citrone | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Randolph E Peterson | Orthopedic Surgery | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Street Address |
360 E LIBERTY ST |
City | WEISER |
State | ID |
Zip | 83672-2261 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian L Mcmahan | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Andrea K Wheeler | Nurse Practitioner | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Einav Shochat | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
John C Kirkham | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Cody J Boyce | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
John S Waltz | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Blake D Niederhauser | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Michael A Fuchs | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Michael J Citrone | Diagnostic Radiology | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Randolph E Peterson | Orthopedic Surgery | Weiser Valley Hospital District | 645 E 5th St, Weiser, ID 83672-2202 |
Find all physicians in zip 83672 |
City | WEISER |
Zip Code | 83672 |
Specialty | FAMILY MEDICINE |
City + Specialty | WEISER + FAMILY MEDICINE |
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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.