DR. BRADLEY GRANT BISHOP (NPI# 1316258510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316258510 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY GRANT BISHOP |
| Credential | MD |
| Practice Address |
1072 N Liberty Street Ste 203 Boise ID 83704 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083025800 |
| Practice Fax Number | 2083025855 |
| Mailing Telephone | 2083025800 |
| Mailing Fax Number | 2083025855 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M-12454 | ID | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 101253606 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| 1255733275 | Bradley Bishop | Behavioral Analyst | 318 E Rowan Ave Ste 201, Spokane, WA 99207-1200 | 2014-09-22 |
| 1093820466 | Bradley M Bishop | Pharmacist | Sells Indian Hospital, Hwy 86, Sells, AZ 85634 | 2006-08-19 |
| 1720645823 | Bradley Bishop | General Practice | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2019-05-23 |
| 1245297738 | Bradley Bishop | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-04-27 |
| Street Address |
1072 N LIBERTY STREET STE 203 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386612414 | Johnny Bert Green | Surgery | 1072 N Liberty Street, Suite 201, Boise, ID 83704 | 2006-03-14 |
| 1760903363 | Sheev Indravadan Dattani | Surgery | 1072 N Liberty Street, Ste 201, Boise, ID 83704 | 2017-07-05 |
| 1003288648 | Brittany Peeler | Physician Assistant | 1072 N Liberty Street, Ste 303, Boise, ID 83704 | 2015-10-22 |
| 1861861841 | Tess Weidner | Midwife | 1072 N Liberty Street, Ste 100, Boise, ID 83704 | 2015-09-19 |
| 1023404811 | Annis Wakelee Vargas | Pediatrics | 1072 N Liberty Street, Ste 203, Boise, ID 83701 | 2015-04-08 |
| 1194127472 | Anna Hoskins | Physician Assistant | 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 | 2014-09-18 |
| 1770857021 | Wendi Holmes | Registered Nurse | 1072 N Liberty Street, Ste 100, Boise, ID 83704 | 2012-03-05 |
| 1265651566 | Ondrej Choutka | Neurological Surgery | 1072 N Liberty Street, Ste 303, Boise, ID 83704 | 2007-04-25 |
| 1750430617 | Adrian J Curnow | Surgery | 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 | 2007-01-09 |
| 1821150285 | Shauna Williams | Colon & Rectal Surgery | 1072 N Liberty Street, Suite 201, Boise, ID 83704 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437577483 | Kaitlin Burke | Pediatrics | 100 E Idaho St Ste 401, Boise, ID 83712-6267 | 2014-04-06 |
| 1780918748 | Jerome Anthony Hirschfeld | Pediatrics | 3101 E Nature Dr, Boise, ID 83706-6921 | 2009-09-23 |
| 1306020086 | Ann Catherine Miller | Pediatrics | 6348 Emerald St, Boise, ID 83642-2376 | 2007-12-18 |
| 1851588644 | Richard Epes Rainey | Pediatrics | 2100 N Larch St, Boise, ID 83706-1022 | 2007-09-26 |
| 1265544894 | Julie S Kikuchi | Pediatrics | 121 E Fort St, Boise, ID 83712-6322 | 2006-08-31 |
| 1174544829 | Allyson Ann Vansteenbergen | Pediatrics | 13960 W. Wainwright Dr., Suite B, Boise, ID 83713 | 2006-07-21 |
| 1609805779 | Ada Pediatrics, P.a. | Pediatrics | 650 N Cole Rd, Boise, ID 83704-9117 | 2006-07-01 |
| 1487693099 | John P Jambura | Pediatrics | 7722 Ustick Rd, Boise, ID 83704-5845 | 2006-06-06 |
| 1730131905 | Angella M Zieba | Pediatrics | 6348 W Emerald St, Boise, ID 83704-8732 | 2006-05-16 |
| 1194773804 | Ben H. Godfrey | Pediatrics | 450 W State St, Suite 100, Boise, ID 83702-6056 | 2006-05-05 |
| Find all providers in BOISE | ||||
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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.