Bradford L Talcott MD PHD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

M10044 Issued in ID

Legal business name

BRADFORD L TALCOTT MD PHD PC

Practice address

2353 Coronado St
Idaho Falls, ID 83404-7407

Phone

(208) 552-4823

Fax

(208) 552-4856

NPI assigned

Jun 5, 2008

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradford L Talcott, MD PHDNPI 1154395101

Title

Physician/Owner

Phone

(208) 552-4823

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradford L Talcott, M.D.

  • Neurology Physician
  • Idaho Falls, ID
  • NPI 1154395101
  Authorized official Same address or phone

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1407015282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-552-4823",
            "fax_number": "208-552-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-552-4823",
            "fax_number": "208-552-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD L TALCOTT MD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "TALCOTT",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "208-552-4823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "M10044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad D Smith, DO, PA
• Brad Jamison Chiropractic, P.L.L.C.
• Andrew Ryan Bradbury, MD
• Braden Partners LP (AdaptHealth)
• Nathan Eric Bradfield, PMHNP
• Bradley L Rhinehart OD PA
• Logan Bradley, DPT
• Maggi Bradley
• Tamara T. Bradley, L.C.S.W.
• Matthew Richard Brady, MA

• Neurology Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Neurology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.