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Contact Information

BRADLEY P BRETZ, MD
2537 W STATE ST STE 200
BOISE, ID83702-2200
 Phone: 208-336-0895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for BRADLEY P BRETZ · (Male)

NPI Number 1124016464
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2005
Last updated 01/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M8818
  • ID Medicaid 806623200
  • OR Medicaid 227200
  • ID Other P00036984 RAILROAD MEDICARE
  • ID Other P00754805 RAILROAD MEDICARE
Hospital affiliation(s)
  • ST ALPHONSUS REGIONAL MEDICAL CENTER - (Acute Care)
    1055 NORTH CURTIS ROAD
    BOISE, ID 83706
  • TREASURE VALLEY HOSPITAL - (Acute Care)
    8800 WEST EMERALD STREET
    BOISE, ID 83704
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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