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Contact Information

BRADLEY JAMES
3345 S HOLMES AVE
IDAHO FALLS, ID83404-7981
 Phone: 208-528-6225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRADLEY JAMES · (Male)

NPI # 1760010615
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2020
Last updated 06/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # P-287
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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