Dr Bradley P Gardner, MD | |
2025 E 17th St, Idaho Falls, ID 83404 | |
(208) 524-2025 | |
(208) 529-1924 |
Full Name | Dr Bradley P Gardner |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 36 Years |
Location | 2025 E 17th St, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255408217 | NPI | - | NPPES |
000010000074 | Other | ID | BLUE SHIELD |
000010000078 | Other | ID | BLUE SHIELD |
312742 | Other | WY | BLUE CROSS |
5925A | Other | WY | STATE LIC # |
DD552 | Other | ID | BLUE CROSS |
DW227 | Other | ID | BLUE CROSS |
J4241 | Other | ID | BLUE CROSS |
J6428 | Other | ID | BLUE CROSS |
000010000077 | Other | ID | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | M6282 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Eye Center Pa | 1557358025 | 8 |
Entity Name | Idaho Eye Center Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518021849 PECOS PAC ID: 1557358025 Enrollment ID: O20041104000375 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley P Gardner, MD 2025 E 17th St, Idaho Falls, ID 83404 Ph: (208) 524-2025 | Dr Bradley P Gardner, MD 2025 E 17th St, Idaho Falls, ID 83404 Ph: (208) 524-2025 |
Matthew P Traynor, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2100 Providence Way, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6602 | |
Dr. Kenneth W Turley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2025 E 17th St, Idaho Falls, ID 83404 Phone: 208-524-2025 Fax: 208-529-1924 | |
Dr. Gary Wayne Wallace, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2295 Coronado Street, Idaho Falls, ID 83404 Phone: 208-524-8600 Fax: 208-524-8394 | |
David Ray Anderson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 530 S Holmes, Idaho Falls, ID 83403 Phone: 208-529-3937 Fax: 208-524-4380 | |
Mr. Peter Carl Zimmerman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1449 E 17th Street, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6603 | |
Dr. Clinton Ellingson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2100 Providence Way, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6602 |