Brad Archibald, OTR is a
Occupational Therapist based in Iona, Idaho. Brad Archibald is licensed to practice in Idaho (license number OT-637) and his current practice location is
4893 Camas Creek Cir., Iona, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 351-0651.
NPI number for Brad Archibald is 1902927056 and his current mailing address is Po Box 354, Iona, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902927056.
Healthcare Provider's Profile
| Full Name | Brad Archibald |
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| Gender | Male |
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| Speciality | Occupational Therapist |
|---|
| Location | 4893 Camas Creek Cir., Iona, 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: 1902927056
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Brad Archibald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902927056 | NPI | - | NPPES |
| TA930 | Other | ID | BLUE CROSS GROUP # |
| W0996 | Other | ID | BLUE CROSS PROVIDERNUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT-637 (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. Brad Archibald 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 |
|---|
Brad Archibald, OTR
Po Box 354,
Iona, ID 83427-0354
Ph: (208) 351-0651 | Brad Archibald, OTR
4893 Camas Creek Cir.,
Iona, ID 83427
Ph: (208) 351-0651 |
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