| William Daniel Bradley, MD | |
|
2960 E. St. Lukes St., Ste. 200, Meridian, ID 83642-6011 | |
| (208) 992-5212 | |
| (208) 992-5452 |
| Full Name | William Daniel Bradley |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 2960 E. St. Lukes St., Meridian, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245273382 | NPI | - | NPPES |
| 0405045-01 | Medicaid | TX |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Medical Center | Caldwell, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Spine Llc | 7214475797 | 2 |
| Entity Name | Southern Idaho Health Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
| Entity Name | Mountain West Spine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982462008 PECOS PAC ID: 7214475797 Enrollment ID: O20240815000192 |
| Mailing Address | Practice Location Address |
|---|---|
| William Daniel Bradley, MD 2960 E. St. Lukes St., Ste. 200, Meridian, ID 83642-6011 Ph: (208) 992-5212 | William Daniel Bradley, MD 2960 E. St. Lukes St., Ste. 200, Meridian, ID 83642-6011 Ph: (208) 992-5212 |
Jesse Dylan Chlebeck, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way, Meridian, ID 83642 Phone: 208-463-3000 | |
Dr. Jonathon Curtis Wolf, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 200b, Meridian, ID 83642 Phone: 208-563-0001 Fax: 208-563-0777 | |
Louis Horst Poppler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-364-3000 | |
Dr. Justin Stephan Roth, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 200, Meridian, ID 83642 Phone: 208-706-2663 | |
Mikayla Lynn Taugher, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2365 E Gala St Ste 1, Meridian, ID 83642 Phone: 208-515-2654 | |
Dr. Paul Calvin Collins, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3875 E Overland Rd, Meridian, ID 83642 Phone: 208-287-0203 Fax: 208-288-5490 |