Bishop, Bradley Grant

Bishop, Bradley Grant is an individual health care provider with primary practice located at 1072 N Liberty St Ste 203 , Boise ID 83704-8708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bishop, Bradley Grant can be contacted via phone (208) 302-5800.

Contact Information

Primary practice address
1072 N Liberty St Ste 203 Boise ID 83704-8708
Phone: (208) 302-5800
Fax: (208) 302-5855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 101253606 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-12454 Idaho

Profile Details

NPI number 1316258510
LBN Legal business name Bishop, Bradley Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Feb 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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