Dr Bradley Phillips, is a
General Practice physician based in Mountain Home Afb, Idaho. Dr Bradley Phillips is licensed to practice in Idaho (license number M-17656) and his current practice location is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 828-7362.
NPI number for Dr Bradley Phillips is 1245798180 and his current mailing address is 90 Hope Dr, Mountain Home Afb, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245798180.
Physician's Profile
Full Name | Dr Bradley Phillips |
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Gender | Male |
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Speciality | General Practice |
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Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245798180
- Provider Enumeration Date: 03/11/2019
- Last Update Date: 05/08/2024
Medical Identifiers
Medical identifiers for Dr Bradley Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245798180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101270994 (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208D00000X | General Practice | M-17656 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bradley Phillips, 90 Hope Dr, Mountain Home Afb, ID 83648-1057 Ph: (208) 828-7362 | Dr Bradley Phillips, 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 Ph: (208) 828-7362 |
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