Bradley Wade Gilman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-8735 Issued in ID

Practice address

402 Old State Hwy
Cascade, ID 83611

Phone

(208) 382-4242

Fax

(208) 382-3580

NPI assigned

Nov 20, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 13, 2015 through Jul 13, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Cascade Medical Center Hospital District

  • Rural Acute Care Hospital
  • Cascade, ID
  • NPI 1689720435
  NPD (past)
• Orthopedic Centers of Idaho P a

  dba Boise Orthopedic Clinic

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1487746541
  NPD (past)
• Tamarack Medical Clinic

  • Urgent Care Clinic/Center
  • Donnelly, ID
  • NPI 1437214475
  NPD (past)
• Payson Healthcare Management Inc

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1093718694
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609940709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 E RIDGE DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 OLD STATE HWY",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "83611",
            "telephone_number": "208-382-4242",
            "fax_number": "208-382-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "BRADLEY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-8735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald K Ellsworth, MD
• Katherine Farmer, TDPT
• Katherine Louise Ferguson, FNP
• Victoria M Fryar, LCSW
• Brooke Giddens
• Courtney Anne Hill, PA
• David Wayne Hill, PA-C
• Patricia Corrine Hillsnapp-Rankin
• Kurt J Markuson DMD (Cascade Family Dentistry)
• Matthew Thomas Law, DPT

• Family Medicine Physician in Cascade, ID
• Providers in Cascade, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.