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IndividualActiveMedicare EnrolledCan Order/Refer

Larry Miles Bradley

LCSW

Social Worker - Clinical

NPI: 1891139432Saint Anthony, Idaho, 83445(208) 356-4900Male

About Larry Miles Bradley

Larry Miles Bradley, LCSW, is a male healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1891139432. Larry Miles Bradley received his medical education at OTHER, graduating in 2006.

Their primary practice is located at 335 E MAIN ST STE 1, Saint Anthony, Idaho 83445. Patients can reach the office at (208) 356-4900. Larry Miles Bradley is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Larry Miles Bradley has been NPI-registered since 2013.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1891139432
Entity Type
Individual
First Name
Larry
Last Name
Bradley
Credential
LCSW
Gender
Male
Medical School
OTHER
Graduation Year
2006
Sole Proprietor
No
Status
active

Primary Practice Location

Address
335 E MAIN ST STE 1
City
Saint Anthony
State
Idaho
ZIP
83445-1546
Country
United States
Phone
(208) 356-4900
Fax
(208) 624-4030

Specialty & Taxonomy

Primary Specialty
Social Worker - Clinical
Classification
Social Worker
Specialization
Clinical
Taxonomy Code
1041C0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 18
City
SAINT ANTHONY
State
ID
ZIP
834450018

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Larry Miles Bradley's NPI number?
Larry Miles Bradley's National Provider Identifier (NPI) is 1891139432. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Larry Miles Bradley specialize in?
Larry Miles Bradley specializes in Social Worker - Clinical. They received their medical education at OTHER (class of 2006).
Where is Larry Miles Bradley located?
Larry Miles Bradley practices at 335 E MAIN ST STE 1, Saint Anthony, Idaho 83445. You can reach them by phone at (208) 356-4900.
Does Larry Miles Bradley accept Medicare?
Yes, Larry Miles Bradley is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Larry Miles Bradley offer telehealth or virtual visits?
Larry Miles Bradley does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Larry Miles Bradley is 1891139432.