Jared Anthony Bradford, PA
Jared Anthony Bradford, PA is a Physician Assistant in Fruitland, Idaho. Qualified in 2019, 7 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 7
- Licensed in
- ID
- In the registry since
- 2019
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
1210 NW 16th StFruitland, ID 83619-2202
Phone: (208) 452-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence ID-1811 (ID) |
|---|
Record details
| NPI number | 1487290359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 26, 2019 |
| Last updated in NPPES | November 26, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Fruitland
-
Charles Edward Brioschi Jr., PA
910 NW 16th St Ste 205, Fruitland, ID 83619-2265 · (208) 452-3111
-
Sean P Hackett, PA-C
1210 NW 16th St, Fruitland, ID 83619-2202 · (208) 452-8600
-
Mr. Bradley James Heninger, PA-C
910 NW 16th St Ste 205, Fruitland, ID 83619 · (208) 452-3111
-
Victor M Ishida, PA
910 NW 16th St Ste 101, Fruitland, ID 83619-2265 · (208) 452-8050