DR. VELMA SUSAN BRADFORD M.D.
NPI 1629070636
Pediatrics in Boise, ID

Q: What is Velma Bradford's NPI number?

The NPI number for Velma Bradford is 1629070636. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Susan Bradford Lowery.

Q: What is Velma Bradford's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Velma Bradford was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 10, 2005PECOS Enrolled

8610 W OVERLAND RD, BOISE, ID 83709(208) 954-8711(208) 375-2217 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Feb 26, 2019, Apr 30, 2018 (3 updates tracked since 2018).

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About Dr. Velma Susan Bradford M.d. NPPES

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

DR. VELMA SUSAN BRADFORD M.D. (NPI 1629070636) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (M-7541) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1629070636

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. VELMA SUSAN BRADFORDCredential: M.D.

Location Address8610 W OVERLAND RDBoise, ID 83709-1645

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217

Phone(208) 954-8711

Fax(208) 375-2217

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1629070636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ID · M-7541

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.

Also ListedLegal MedicineTaxonomy 173000000X · License M7541 (ID)

8610 W OVERLAND RD, Boise, ID 83709

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Other Names 1

Former Name (1)Susan Bradford Lowery

Secondary Practice Location 1

Location 12275 S Eagle Rd Ste 120Meridian, ID 83642-2620 · Phone (208) 514-2520 · Fax (208) 375-2217

Other Identifiers 2

Medicaid805219300ID

Medicaid1629070636ID

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 (PECOS)

Dr. Velma Susan Bradford M.d. 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 83709 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 20

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

MRS. LISA S LABOR MD

Pediatrics