Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE G BRADSHAW, PA-C
ActiveJESSE G BRADSHAW, PA-C is a Physician Assistant healthcare provider located in BURLEY, Idaho. NPI 1821579012 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BURLEY, ID
Registration Details
- NPI Number
- 1821579012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2018 (7.9596517571424 yrs)
- Last Updated
- Dec 13, 2018
- License
-
PA1467 (ID)
Practice Information
- Address
-
1252 BENNETT AVE STE BBURLEY, ID, 833182664Browse ID providers · Browse ZIP 83318
- Phone
- 2086470656
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BURLEY, ID
| Name | Credential | NPI |
|---|---|---|
| MR. CURTIS SAMUEL NIELSON | PA-C | 1285855270 |
| MITCH T ROBINSON | PA-C | 1245581487 |
| MISS REBECCA D CHURCH | PA | 1982033395 |
| TAYLOR MCALLISTER | PA-C | 1477902161 |
| CHASE BEAL | — | 1649780727 |
| SCOTT CORY STUART | PA-C | 1528533296 |
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.