Comprehensive Health Associates PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-1250A Issued in ID

Legal business name

COMPREHENSIVE HEALTH ASSOCIATES PLLC

Practice address

1107 N 9TH St
Boise, ID 83702-4209

Phone

(208) 336-7407

Fax

(208) 336-7407

NPI assigned

Oct 15, 2015

Last updated

Sep 30, 2020By 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. Bradley Carl Wrobel, DNP, NP-CNPI 1558705806

Title

Member

Phone

(208) 861-2859

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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 Carl Wrobel, NP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1558705806
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1891166880",
    "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": "1107 N 9TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024209",
            "telephone_number": "208-336-7407",
            "fax_number": "208-336-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "WROBEL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-861-2859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1250A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.