Individual provider · Type 1 NPI

Cali J. Bradberry, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1831473198 Active

Practice location

4750 N Five Mile Rd
Boise, ID 83713-2715

Call (208) 375-0500 Map

Fax (208) 375-4310

Mailing address

5985 W State St
Boise, ID 83703-3039

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XPA-937 (ID)
Physician Assistant 363A00000XPA-937 (ID)
Medical Physician Assistant Primary 363AM0700XPA-937 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1831473198

Cali J. Bradberry, PA-C's National Provider Identifier is 1831473198, issued on Oct 5, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Feb 6, 2023.