Active NPI
Bradley Woodfield
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 54257
- Practice address
- 338 E Bannock St
Boise, ID 83712-6207 - Phone
- (208) 336-0895
- NPI assigned
- Aug 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 54257 | ID | Primary |
Addresses
Primary practice location
338 E Bannock St
Boise, ID 83712-6207
Mailing address
338 E Bannock St
Boise, ID 83712-6207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, UT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 State St
McCall, ID 83638-3704
Phone (208) 634-2221
1859 S Topaz Way
Suite 106
Meridian, ID 83642-4401
Phone (208) 672-4640
338 E Bannock St
Boise, ID 83712-6207
Phone (208) 336-0895
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham Anesthesia, LLC | Current | Accepting new patients | |
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients | |
| Mountain View Anesthesia LC | Current | Accepting new patients | |
| Elaine Key MD PLLC | Current | Accepting new patients | |
| Idaho Spine & Pain PLLC | Current | Accepting new patients |
Locations
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
1000 State St
McCall, ID 83638
Phone (208) 634-2221
1859 S Topaz Way
Ste 106
Meridian, ID 83642
Phone (208) 475-3720
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 6
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.
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Anesthesiology Physician
- Boise, ID
- NPI 1245680099
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
-
- Anesthesiology Physician
- Brigham City, UT
- NPI 1710904800
-
- Anesthesiology Physician
- Orem, UT
- NPI 1043249840
-
- Interventional Pain Medicine Physician
- Meridian, ID
- NPI 1306291836
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1235685363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126207",
"telephone_number": "208-336-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODFIELD",
"first_name": "BRADLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-29",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "54257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.