BRADLEY DALE PEARSON (NPI# 1184950016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184950016 |
| Entity Type | Individual |
| Full Name | BRADLEY DALE PEARSON |
| Credential | MPT |
| Practice Address |
720 S Woodruff Ave Idaho Falls ID 83401-5285 |
| Practice Telephone | 2085525025 |
| Practice Fax Number | 2085525029 |
| Mailing Telephone | 2085525025 |
| Mailing Fax Number | 2085525029 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT-1125 | ID | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942665062 | Bradley Douglass Pearson | Specialist/Technologist | 4450 Nelson Brogdon Blvd Ste D1, Buford, GA 30518-3447 | 2015-12-16 |
| 1649899766 | Bradley Pearson | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2020-04-09 |
| 1568596716 | Bradley L Pearson | Dentist | 7450 France Ave S, Suite 270, Edina, MN 55435-4787 | 2007-03-16 |
| 1184713257 | Bradley Vann Pearson | Emergency Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2006-10-12 |
| Street Address |
720 S WOODRUFF AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-5285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770729279 | Charles Todd Storms | Specialist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2009-01-05 |
| 1891309167 | Alyssa M Sayer | Specialist/Technologist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2020-09-03 |
| 1285267401 | Brian Dorius | Physical Therapist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2020-02-17 |
| 1740827385 | Madison Mckenzi De Loera | Physical Medicine & Rehabilitation | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2019-12-02 |
| 1821598178 | Kendall James Adams | Physical Therapist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2018-02-13 |
| 1396136743 | Trevor Brice Dimond | Physical Therapist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932429545 | Sherri Stacey | Specialist | 2862 Bungalow Dr, Idaho Falls, ID 83401-6011 | 2010-06-04 |
| 1366767790 | Eliseo Guerra | Specialist | 457 I St, Idaho Falls, ID 83402-2842 | 2010-03-29 |
| 1609106079 | Danielle Joy Adams | Specialist | 777 Hoopes Ave, Apt I-103, Idaho Falls, ID 83401-4972 | 2010-01-07 |
| 1306075098 | Nevada Lee Walker | Specialist | 316 N Bellin Rd, Idaho Falls, ID 83402-2357 | 2009-07-02 |
| 1770729279 | Charles Todd Storms | Specialist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2009-01-05 |
| 1205030368 | Idaho Falls Hand Surgery | Specialist | 933 S Utah, Idaho Falls, ID 83404 | 2007-06-13 |
| 1093860710 | Brenda M Fritz | Specialist | 2570 Channing Way, Idaho Falls, ID 83404-7515 | 2007-01-24 |
| 1821106089 | Daniel K Hinckley | Specialist | 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 | 2006-08-28 |
| 1063527158 | Pro Heal Hyperbarics & Wound Care | Specialist | 2325 Coronaod, Idaho Falls, ID 83404 | 2006-08-20 |
| 1275552291 | Mark Edward Freeman | Specialist | 1855 Madison Avenue, Idaho Falls, ID 83404 | 2006-07-19 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on BRADLEY DALE PEARSON.
| 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.