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

Bradley Smith Hickman, PA-C

Individual provider Physician Assistant · NPI 1629588009

Bradley Smith Hickman, PA-C is a Physician Assistant in Twin Falls, Idaho. Graduated from University of Utah School of Medicine in 2004, 22 years ago. Practices with Urgent Care of Idaho LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
22
Trained at
University of Utah School of Medicine
Licensed in
ID
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2392 Addison Ave E
Twin Falls, ID 83301-6745
Phone: (307) 548-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2529 (ID)

Record details

NPI number1629588009
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2017
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Urgent Care Of Idaho Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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