Bradley P Gardner in Idaho Falls - Ophthalmology
Bradley P Gardner - NPI 1255408217
Bradley P Gardner is a Ophthalmology in Idaho Falls, Idaho. Bradley P Gardner practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Bradley P Gardner is 1255408217. The last update date is 2007-07-08.
Bradley P Gardner's current location address is 2025 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085242025 and fax number 2085291924. The mailing address for Bradley P Gardner is 2025 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley P Gardner |
|---|---|
| Address | 2025 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085242025 |
| Fax Number | 2085291924 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255408217 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2025 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 83404 |
| Phone Number | 2085242025 |
| Fax Number | 2085291924 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | M6282 |
|
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10000074 | ID | BLUE SHIELD | |
| 10000078 | ID | BLUE SHIELD | |
| 312742 | WY | BLUE CROSS | |
| 5925A | WY | STATE LIC # | |
| DD552 | ID | BLUE CROSS | |
| DW227 | ID | BLUE CROSS | |
| J4241 | ID | BLUE CROSS | |
| J6428 | ID | BLUE CROSS | |
| 10000077 | ID | BLUE SHIELD |
Post Comment/ Review Below
What is the Bradley P Gardner's 1255408217?
The Bradley P Gardner's NPI (National Provider Identifier) Number is 1255408217. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bradley P Gardner is geographically located?
The Bradley P Gardner is physically situated at the following location: 2025 E 17Th St, Idaho Falls, ID, 83404.
What is Bradley P Gardner's area of expertise and its corresponding taxonomy classification?
The Bradley P Gardner's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.
When did the Bradley P Gardner receive its 1255408217?
The Bradley P Gardner was issued its 1255408217 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
When was the information related to Bradley P Gardner most recently updated or refreshed?
The details pertaining to the Bradley P Gardner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.