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

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 PHD

Title

Physician/Owner

Phone

(208) 552-4823

Specialties & licenses 1

Addresses

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
• 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.