DR. BRADLEY GRANT BISHOP MD
NPI 1316258510
Pediatrics in Boise, ID

Active since June 23, 2010PECOS Enrolled
1072 N LIBERTY ST STE 203, BOISE, ID 83704(208) 302-5800(208) 302-5855 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2023, Nov 10, 2016 (2 updates tracked since 2016).

About Dr. Bradley Grant Bishop Md NPPES

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

DR. BRADLEY GRANT BISHOP MD (NPI 1316258510) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (M-12454) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316258510
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRADLEY GRANT BISHOPCredential: MD
Location Address1072 N LIBERTY ST STE 203Boise, ID 83704-8708
Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 302-9342 · Fax (208) 302-5180
Fax(208) 302-5855
Sole ProprietorNo
Enumeration DateJune 23, 2010
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1316258510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in ID · M-12454 Licensed in VA · 101253606
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1072 N LIBERTY ST STE 203, Boise, ID 83704

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bradley Grant Bishop Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physician Assistant
1072 N LIBERTY ST STE 203
BOISE, ID 83704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316258510, enumerated as an "individual" on June 23, 2010.

The provider is located at 1072 N LIBERTY ST STE 203 BOISE, ID 83704 and the phone number is (208) 302-5800.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.