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Contact Information

BRADLEY M BURTON, MD
2006 BIRDIE THOMPSON DRIVE
POCATELLO, ID83201
 Phone: 208-232-1132
 Fax: 208-232-1134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRADLEY M BURTON · (Male)

NPI # 1093818239
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M7466
Hospital affiliation(s)
  • LOST RIVERS DISTRICT HOSPITAL - (Critical Access)
    551 HIGHLAND DRIVE
    ARCO, ID 83213
  • PORTNEUF MEDICAL CENTER - (Acute Care)
    777 HOSPITAL WAY
    POCATELLO, ID 83201
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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