Julie Bradley, MSP

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1619 Curlew Dr Ste 9
Ammon, ID 83406-4719

Phone

(208) 497-0807

Fax

(208) 523-5627

NPI assigned

Oct 23, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 4 Pillars of Success LLC

  • Psychologist
  • Ammon, ID
  • NPI 1811029341
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1184591083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032106",
            "telephone_number": "208-523-5319",
            "fax_number": "208-523-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CURLEW DR STE 9",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064719",
            "telephone_number": "208-497-0807",
            "fax_number": "208-523-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JULIE",
        "credential": "MSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beth Shell Boehm, LPC
• Bore LLC
• Kollette Bowman, LSW
• Nicole Boyle, CNP
• Lynelle Boynton, BS
• Chelsea Briar, LMSW
• Thomas Brinkley, LMSW
• Cory Franklin Briscoe, APRN CRNA MSN
• Zachary Brooks, LMSW
• Broulim Supermarkets, LLC

• Community Health Worker in Ammon, ID
• Providers in Ammon, ID by specialty
• Community Health Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.