Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Holbrook

Individual provider Maternal & Fetal Medicine Physician · NPI 1114244514

Bradley Holbrook is an Obstetrics/Gynecology in Boise, Idaho. Graduated from Eastern Virginia Medical School in 2010, 16 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and New Mexico.

Years since qualifying
16
Trained at
Eastern Virginia Medical School
Licensed in
ID, NM
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

333 N 1st St Ste 150
Boise, ID 83702-6135
Phone: (208) 381-3088
Fax: (208) 381-4314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 — (505) 272-6225

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence M-17863 (ID)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X · Licence MD2014-0229 (NM)

Record details

NPI number1114244514
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2010
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address190 E Bannock St Ste 2222, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2010 (16 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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