DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY P GARDNER, MD

Active

Ophthalmology · IDAHO FALLS, ID

Registration Details

NPI Number
1255408217
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2006 (19.413131290704 yrs)
Last Updated
Jul 8, 2007
License
M6282 (ID)

Practice Information

Address
2025 E 17TH ST
IDAHO FALLS, ID, 83404
Browse ID providers · Browse ZIP 83404
Phone
2085242025
Fax
2085291924
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in IDAHO FALLS, ID

Name Credential NPI
DR. ERIC K ROMRIELL DO 1922072586
DR. GARY WAYNE WALLACE M.D. 1144335290
DR. AARON JON AFFLECK MD 1861507857
DR. KENNETH W TURLEY MD 1063589034
MR. PETER CARL ZIMMERMAN MD 1275685513
RICHARD CANNON MD 1992842264
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.