| NPI | 1316258510 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2010-06-23 |
| Last Updated | 2023-02-06 |
| Mailing Address | 3340 E Goldstone Dr Meridian, ID 83642-1026 United States Phone: (208) 302-9342 | Fax: (208) 302-5180 📍 View Map |
| Primary Practice Address | 1072 N Liberty St Ste 203 Boise, ID 83704-8708 United States Phone: (208) 302-5800 | Fax: (208) 302-5855 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | VA | 101253606 |
| Yes | 208000000X – Pediatrics | ID | M-12454 |
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About NPI 1316258510
Bradley Grant Bishop MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1316258510. The primary specialty listed is Pediatrics. The provider is located in Boise, ID. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-06-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316258510?
NPI 1316258510 belongs to Bradley Grant Bishop MD, a Pediatrics in Boise, ID. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316258510 active?
The current status of NPI 1316258510 in the NPPES registry is Active. The record was last updated on 2023-02-06.
What specialty is NPI 1316258510?
NPI 1316258510 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316258510?
You can verify NPI 1316258510 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316258510?
The primary practice address on file for NPI 1316258510 is 1072 N Liberty St Ste 203, Boise, ID 83704-8708. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316258510 issued?
NPI 1316258510 was first issued (enumerated) on 2010-06-23. The NPPES record was last updated on 2023-02-06.
Practice Location Map
Bradley Grant Bishop is located at 1072 N Liberty St Ste 203, Boise, ID. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Bradley Grant Bishop. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1316258510. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 101253606 | VA |
| Pediatrics | M-12454 | ID |