BRAD R. EDWARDS DO – NPI #1093829657
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BRAD EDWARDS is a physician located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1093829657 to BRAD EDWARDS on August 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 17 years ago on Sep 30, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAD EDWARDS below.

NPI Profile for
BRAD R. EDWARDS

NPI Number
1093829657
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRAD R. EDWARDS
Credentials
DO
Primary location
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7579
Phone: (208) 523-3060 Fax: (208) 523-0028
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRAD EDWARDS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSSID54380
OTHERBLUE SHIELDID000010143893
MEDICAIDID806644500
MEDICAIDMT0117436
MEDICAIDWY123957100
MEDICAIDWY1285786046
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
ID O316

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.