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

Dr. Bradley Grant Bishop, MD

Individual provider Pediatrics Physician · NPI 1316258510

Dr. Bradley Grant Bishop, MD is a Pediatrics Physician in Boise, Idaho. Licensed in Idaho and Virginia. Registered with an NPI since 2010.

Licensed in
ID, VA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1072 N Liberty St Ste 203
Boise, ID 83704-8708
Phone: (208) 302-5800
Fax: (208) 302-5855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-12454 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 101253606 (VA)

Record details

NPI number1316258510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023

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