Dr Bradley Grant Bishop, MD in Boise, ID

Dr Bradley Grant Bishop, MD is a medicare enrolled "Pediatrics" physician in Boise, Idaho. His current practice location is 1072 N Liberty St Ste 203, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-5800.

Dr Bradley Grant Bishop is licensed to practice in Idaho (license number M-12454) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316258510.

Contact Information

	Dr Bradley Grant Bishop, MD
	1072 N Liberty St Ste 203, Boise, ID 83704-8708
	(208) 302-5800
	(208) 302-5855

Map and Direction

Physician's Profile

Full Name	Dr Bradley Grant Bishop
Gender	Male
Speciality	Pediatrics
Location	1072 N Liberty St Ste 203, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316258510
Provider Enumeration Date: 06/23/2010
Last Update Date: 02/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6204079924
Enrollment ID: I20140825001980

Medical Identifiers

Medical identifiers for Dr Bradley Grant Bishop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316258510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	101253606 (Virginia)	Secondary
208000000X	Pediatrics	M-12454 (Idaho)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bradley Grant Bishop allows following entities to bill medicare on his behalf.

Entity Name	Saint Alphonsus Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036

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 Grant Bishop is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Bradley Grant Bishop, MD 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 302-9342	Dr Bradley Grant Bishop, MD 1072 N Liberty St Ste 203, Boise, ID 83704-8708 Ph: (208) 302-5800

Reviews and Comments

Pediatrics Doctors in Boise, ID

Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387
Annis Wakelee Vargas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701 Phone: 208-302-5800 Fax: 208-302-5855
Mrs. Lisa S Labor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 Fax: 208-375-2217
Yukiko Miura, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2088

Dr Bradley Grant Bishop, MD - Medicare Pediatrics in Boise, ID