Individual provider · Type 1 NPI

Jesse G. Bradshaw, PA-C

Physician Assistant · Burley, ID

NPI number 1821579012 Active

Practice location

1252 Bennett Ave Ste B
Burley, ID 83318-2664

Mailing address

243 Cheney Dr W Ste 200
Twin Falls, ID 83301-4278

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA1467 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1821579012

Jesse G. Bradshaw, PA-C's National Provider Identifier is 1821579012, issued on Aug 24, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Burley, ID. The record was last updated on Dec 13, 2018.