DR. BRADLEY PHILLIPS
NPI 1245798180
General Practice in Mountain Home Afb, ID
NPI Status: Active since March 11, 2019
Contact Information
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
Phone: (208) 828-7362
Fax: (208) 828-1916
- Individual
- Male
- General Practice
- PECOS Enrolled
About BRADLEY PHILLIPS
This page provides the complete NPI Profile along with additional information for Bradley Phillips, a primary care provider established in Mountain Home Afb, Idaho with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1245798180 assigned on March 2019. The practitioner's primary taxonomy code is 208D00000X with license number M-17656 (ID). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1245798180
- Provider Name
- DR. BRADLEY PHILLIPS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 90 HOPE DR BLDG 6000 MOUNTAIN HOME AFB, ID 83648
- Location Phone
- (208) 828-7362
- Location Fax
- (208) 828-1916
- Mailing Address
- 90 HOPE DR MOUNTAIN HOME AFB, ID 83648
- Mailing Phone
- (208) 828-7362
- Mailing Fax
- (208) 828-1916
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-11-2019
- Last Update Date
- 05-08-2024
- Code Navigator
A primary care provider (PCP) like Bradley Phillips sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 190 E Bannock St
Boise, ID 83712
(208) 381-2645
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M-17656
- License State
- ID
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 0101270994 (VA) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Bradley Phillips is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. BRADLEY PHILLIPS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 9 | 8 | 1 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 9 | 16 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 9 + 1 + 6 + 1 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245798180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
SHANNON LEE BRANTLEY PHARMD
Pharmacist
90 HOPE DR BLDG 6000
366 MDSS/SGSAP
MOUNTAIN HOME AFB, ID
ZIP 83648
SYLVIA LASHAWN TOOMER DENTAL HYGIENIST
Dental Hygienist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
DR. JUDY ANN HAFNER PSYD
Psychologist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
MR. JOSEPH PAUL KEDDIE IDMT
Military Health Care Provider
(Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
MR. OMAR D HERNANDEZ SOLANO IDMT
Military Health Care Provider
(Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
366 AMDS/SGPF
MOUNTAIN HOME A F B, ID
ZIP 83648
JOE CABALHIN DITTMAN IDMT
Military Health Care Provider
(Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
MR. JEFFRIE NEIL MAYBERRY IDMT
Military Health Care Provider
(Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
KRISTEN ANNE LEWIS
Military Health Care Provider
(Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID
ZIP 83648
PAUL MICHAEL BODES PHARMD
Pharmacist
90 HOPE DR BLDG 6000
PHARMACY
MOUNTAIN HOME AFB, ID
ZIP 83648
MISS LEIGH ANNE PALMER
Registered Nurse
(Medical-Surgical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
TYREE WOLF IDMT
Military Health Care Provider
(Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
DR. ERIN SIEBERT PHD
Military Health Care Provider
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
DR. CRAIG LOYD FOLSOM D.D.S.
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
KYLE CHRISTENSEN D.M.D.
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
ROBERTO OLVERA LCSW
Social Worker
(Clinical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
DR. THOMAS MICHAEL CHRISTY D.D.S
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
DEBRA E HAYTON LCSW
Social Worker
(Clinical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
MR. DAVID J EMERT
Dental Assistant
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
KADEESH MCNAUGHT
Dental Assistant
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
MS. HEATHER MARIE FUNK MS, RDN, LDN
Dietitian, Registered
(Nutrition, Pediatric)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245798180, enumerated as an "individual" on March 11, 2019.
The provider is located at 90 HOPE DR BLDG 6000 MOUNTAIN HOME AFB, ID 83648 and the phone number is (208) 828-7362.
General Practice with taxonomy code 208D00000X.
