Individual provider Active NPI

Bradley Carl Wrobel, NP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1558705806
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1250-A Issued in ID
Practice address
4822 N Rosepoint Way
Boise, ID 83713-0944
Phone
(208) 861-2859
Fax
(208) 453-6447
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1250-A ID Primary

Addresses

Primary practice location

4822 N Rosepoint Way
Boise, ID 83713-0944

Mailing address

PO Box 3482
Post Falls, ID 83877-3482
Phone (208) 209-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203002536 ID Practitioner - Nurse Practitioner 2567762404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4822 N Rosepoint Way
Suite 101
Boise, ID 83713-0944
Phone (208) 453-6447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1250-AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Associates Family CurrentSince Feb 9, 2025 Accepting new patients

Locations

4822 N Rosepoint Way
Ste 101
Boise, ID 83713
Phone (208) 453-6447

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1558705806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3482",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838773482",
            "telephone_number": "208-209-6170",
            "fax_number": "208-209-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 N ROSEPOINT WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130944",
            "telephone_number": "208-861-2859",
            "fax_number": "208-453-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBEL",
        "first_name": "BRADLEY",
        "middle_name": "CARL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "1250-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.