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MR. BRADLEY JAMES HENINGER PA-C
NPI 1205103389
Physician Assistant - Medical in Fruitland, ID

Active since November 17, 2011PECOS EnrolledAccepts Medicare Assignment
910 NW 16TH STREET, STE 205, FRUITLAND, ID 83619(208) 452-3111(208) 452-3666 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bradley James Heninger Pa-c NPPES

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

MR. BRADLEY JAMES HENINGER PA-C (NPI 1205103389) is an individual medical provider in Fruitland, Idaho, licensed in Idaho (PA-1026) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205103389
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BRADLEY JAMES HENINGERCredential: PA-C
Location Address910 NW 16TH STREET, STE 205Fruitland, ID 83619
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 452-3111 · Fax (208) 452-3666
Phone(208) 452-3111
Fax(208) 452-3666
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 17, 2011
Last NPPES UpdateFebruary 17, 2016
✔ NPI 1205103389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-1026
910 NW 16TH STREET, Fruitland, ID 83619
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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

Mr. Bradley James Heninger Pa-c 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 ID547428013
PECOS Enrollment IDI20140619002277
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
150 services92 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services107 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
85 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers21 claims21 services$35.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CHARLES EDWARD BRIOSCHI JR. PA
Physician Assistant (Medical)
910 NW 16TH STREET, STE 205
FRUITLAND, ID 83619
Payette County (208) 452-3111
JOHN D FOOTE MD
Orthopaedic Surgery
910 NW 16TH STREET, STE 205
FRUITLAND, ID 83619
Payette County (208) 452-3111
ANNE INGRAM PA-C
Physician Assistant
910 NW 16TH STREET, STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8000
MICHAEL JOSEPH HOILIEN DO
Family Medicine
910 NW 16TH STREET, STE 101
FRUITLAND, ID 83619
Payette County (208) 452-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Heninger's NPI number?

The NPI number for Bradley Heninger is 1205103389. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Bradley Heninger located?

Bradley Heninger practices at 910 NW 16th Street Ste 205, Fruitland, ID 83619. The listed phone number is (208) 452-3111.

What is Bradley Heninger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bradley Heninger enrolled in Medicare?

Yes. Bradley Heninger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Heninger accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Bradley Heninger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bradley Heninger affiliated with any hospitals?

According to CMS data, Bradley Heninger is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Bradley Heninger was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.