Bradberry, Cali J

Bradberry, Cali J is an individual health care provider with primary practice located at 4750 N Five Mile Rd , Boise ID 83713-2715. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bradberry, Cali J can be contacted via phone (208) 375-0500.

Contact Information

Primary practice address
4750 N Five Mile Rd Boise ID 83713-2715
Phone: (208) 375-0500
Fax: (208) 375-4310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X PA-937 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-937 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-937 Idaho

Profile Details

NPI number 1831473198
LBN Legal business name Bradberry, Cali J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2011
Last updated Feb 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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