Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY PHILLIPS
ActiveDR. BRADLEY PHILLIPS is a Pediatrics healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1245798180 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1245798180
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2019 (7.4587270569747 yrs)
- Last Updated
- Mar 3, 2026
- Licenses
-
M-17656 (ID)M-17656 (ID)
Practice Information
- Address
-
90 HOPE DR BLDG 6000MOUNTAIN HOME AFB, ID, 836481062Browse ID providers · Browse ZIP 83648
- Phone
- 2088287362
- Fax
- 2088281916
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- 2083A0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.