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BRADLEY D MULKEY PA
NPI 1487691176
Physician Assistant in Meridian, ID

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
3525 E LOUISE DR, SUITE 400, MERIDIAN, ID 83642(208) 322-1680(208) 685-2282 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley D Mulkey Pa NPPES

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

BRADLEY D MULKEY PA (NPI 1487691176) is an individual physician assistant in Meridian, Idaho, licensed in Idaho (PA511) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1487691176
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRADLEY D MULKEYCredential: PA
Location Address3525 E LOUISE DR, SUITE 400Meridian, ID 83642
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-5180 · Fax (208) 381-5190
Phone(208) 322-1680
Fax(208) 685-2282
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1487691176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA511
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3525 E LOUISE DR, Meridian, ID 83642
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Accepted Insurance

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

Bradley D Mulkey Pa 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 ID6204886310
PECOS Enrollment IDI20050126000949
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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$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.

Other Providers at the Same Location NPPES 20

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

JEFFREY WAGNER
Clinical Exercise Physiologist
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7050
MS. ANNE MARIE KUHLMEIER SLP/CCC
Speech-Language Pathologist
3525 E LOUISE DR, SUITE 255
MERIDIAN, ID 83642
Ada County (208) 489-5099
KATHERINE A ASSMUS PA
Physician Assistant
3525 E LOUISE DR, SUITE 400
MERIDIAN, ID 83642
Ada County (208) 322-1680
CAROLYN BLAISDELL MS OTR/L
Occupational Therapist
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 489-5099
JENNIFER M GOODHEART
Registered Nurse (Cardiac Rehabilitation)
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7050
LEANN LESLIE MORA LCSW
Social Worker (Clinical)
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7050
ANNIE SEARCY M.S. CCC-SLP
Speech-Language Pathologist
3525 E LOUISE DR, SUITE 255
MERIDIAN, ID 83642
Ada County (208) 489-5099
JOSELYN N READ RD, LD
Dietitian, Registered
3525 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7050

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 Mulkey's NPI number?

The NPI number for Bradley Mulkey is 1487691176. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Bradley Mulkey located?

Bradley Mulkey practices at 3525 E Louise Dr Suite 400, Meridian, ID 83642. The listed phone number is (208) 322-1680.

What is Bradley Mulkey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bradley Mulkey enrolled in Medicare?

Yes. Bradley Mulkey 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 Mulkey accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Bradley Mulkey 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 Mulkey affiliated with any hospitals?

According to CMS data, Bradley Mulkey is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Bradley Mulkey was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.