Dr Bradley Wade Gilman, MD is a
Family Medicine physician based in Cascade, Idaho. Dr Bradley Wade Gilman is licensed to practice in Idaho (license number M-8735) and his current practice location is 402 Old State Hwy, Cascade, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 382-4242.
NPI number for Dr Bradley Wade Gilman is 1609940709 and his current mailing address is 491 E Ridge Dr, Eagle, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609940709.
Physician's Profile
| Full Name | Dr Bradley Wade Gilman |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 402 Old State Hwy, Cascade, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609940709
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bradley Wade Gilman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609940709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | M-8735 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Wade Gilman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bradley Wade Gilman, MD
491 E Ridge Dr,
Eagle, ID 83616-5097
Ph: () - | Dr Bradley Wade Gilman, MD
402 Old State Hwy,
Cascade, ID 83611
Ph: (208) 382-4242 |
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