Bretz, Bradley P

Bretz, Bradley P is an individual health care provider with primary practice located at 2537 W State St Ste 200 , Boise ID 83702-2200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bretz, Bradley P can be contacted via phone (208) 336-0895.

Contact Information

Primary practice address
2537 W State St Ste 200 Boise ID 83702-2200
Phone: (208) 336-0895
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X M8818 Idaho
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M8818 Idaho

Profile Details

NPI number 1124016464
LBN Legal business name Bretz, Bradley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 10th, 2018 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1124016464 NPPES
Oregon MEDICAID 227200
Oregon MEDICAID 806623200
Oregon Other P00036984
Oregon Other P00754805

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