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Contact Information

BRADLEY HOLBROOK
333 N 1ST ST STE 150
BOISE, ID83702-6135
 Phone: 208-381-3088
 Fax: 208-381-4314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BRADLEY HOLBROOK · (Male)

NPI Number 1114244514
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2010
Last updated 08/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # M-17863
  • NM License # MD2014-0229
Hospital affiliation(s) Not Available
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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