Gordon Bradley Greaves, PA
Gordon Bradley Greaves, PA is a Physician Assistant in Wilder, Idaho. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Idaho.
- Years since qualifying
- 24
- Licensed in
- CA, ID
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
15821 Allendale RdWilder, ID 83676-5864
Phone: (208) 278-2863
Fax: (208) 621-3128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA615 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 16369 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence PA615 (ID) |
Record details
| NPI number | 1699708131 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2006 |
| Last updated in NPPES | April 14, 2025 |
| Certification date | April 14, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |