BRADLEY HOLBROOK
NPI 1114244514
Obstetrics & Gynecology - Maternal & Fetal Medicine in Boise, ID

Q: What is Bradley Holbrook's NPI number?

The NPI number for Bradley Holbrook is 1114244514. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Q: What is Bradley Holbrook's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Holbrook was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment

333 N 1ST ST STE 150, BOISE, ID 83702(208) 381-3088(208) 381-4314 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2024, Mar 22, 2017 (2 updates tracked since 2017).

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About Bradley Holbrook NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY HOLBROOK (NPI 1114244514) is an individual maternal & fetal medicine provider in Boise, Idaho, licensed in Idaho (M-17863) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1114244514

Entity TypeIndividualMale

Primary Taxonomy207VM0101X

Provider Legal NameBRADLEY HOLBROOK

Location Address333 N 1ST ST STE 150Boise, ID 83702-6135

Mailing Address190 E Bannock St Ste 2222Boise, ID 83712-6241

Phone(208) 381-3088

Fax(208) 381-4314

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2010

Enumeration DateApril 23, 2010

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1114244514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in ID · M-17863✔ Licensed in NM · MD2014-0229

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

333 N 1ST ST STE 150, Boise, ID 83702

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Secondary Practice Location 1

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-6225

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley Holbrook is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820218951

PECOS Enrollment IDI20241007003381

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY STENHOUSE MS

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