| Dr Jenna Marie Bradley, AUD | |
|
510 N 2nd St Ste 201, Boise, ID 83702-6078 | |
| (208) 385-3440 | |
| (208) 385-3441 |
| Full Name | Dr Jenna Marie Bradley |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 510 N 2nd St Ste 201, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871279240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AY2735 (Florida) | Secondary |
| 231H00000X | Audiologist | AUD-6276 (Idaho) | Primary |
| Provider Name | West Florida Medical Center Clinic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568452688 PECOS PAC ID: 7416860705 Enrollment ID: O20031113000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jenna Marie Bradley, AUD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 385-3440 | Dr Jenna Marie Bradley, AUD 510 N 2nd St Ste 201, Boise, ID 83702-6078 Ph: (208) 385-3440 |
Melanie Vanderpol, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6094 W Emerald Street, Boise, ID 83704 Phone: 208-302-1000 Fax: 208-302-1035 | |
All American Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4121 W. State Street, Boise, ID 83703 Phone: 208-853-2650 Fax: 208-853-7333 | |
Treasure Valley Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1084 N Cole Rd, Boise, ID 83704 Phone: 208-377-0019 Fax: 208-377-0313 | |
Dr. Trisha Smeltzer, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1111 | |
Ms. Gerene Hamilton Norton, M.S. CCC SLP CCCA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 12301 W Explorer Dr, Suite 102, Boise, ID 83713 Phone: 208-373-1723 | |
Stanley Dean Harmer, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 | |
Dr. Elena Stamm, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 10000 W Amity Rd, Boise, ID 83709 Phone: 208-854-5299 Fax: 208-854-5221 |