Bradley L Rhinehart OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100062 Issued in ID

Legal business name

BRADLEY L RHINEHART OD PA

Practice address

700 E 17TH St
Idaho Falls, ID 83404-6152

Phone

(208) 522-2839

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 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

Mr. Bradley L Rhinehart, O.D.NPI 1356457030

Title

Owner

Phone

(208) 525-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Bradley Lynn Rhinehart, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1356457030
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1700063567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3579",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033579",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046152",
            "telephone_number": "208-522-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY L RHINEHART OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "RHINEHART",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-525-2090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Jamison Chiropractic, P.L.L.C.
• Andrew Ryan Bradbury, MD
• Braden Partners LP (AdaptHealth)
• Nathan Eric Bradfield, PMHNP
• Bradford L Talcott MD PHD PC
• Logan Bradley, DPT
• Maggi Bradley
• Tamara T. Bradley, L.C.S.W.
• Matthew Richard Brady, MA
• Sarah Kay Bragg, M.S., CCC-SLP

• Optometrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.