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CALI J BRADBERRY PA-C
NPI 1831473198
Physician Assistant - Medical in Boise, ID

Active since October 05, 2011PECOS EnrolledAccepts Medicare Assignment
4750 N FIVE MILE RD, BOISE, ID 83713(208) 375-0500(208) 375-4310 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cali J Bradberry Pa-c NPPES

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

CALI J BRADBERRY PA-C (NPI 1831473198) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA-937) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1831473198
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCALI J BRADBERRYCredential: PA-C
Location Address4750 N FIVE MILE RDBoise, ID 83713-2715
Mailing Address5985 W State StBoise, ID 83703-3039 · (208) 853-0071 · Fax (208) 853-9422
Phone(208) 375-0500
Fax(208) 375-4310
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 5, 2011
Last NPPES UpdateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1831473198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-937
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License PA-937 (ID)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-937 (ID)
4750 N FIVE MILE RD, Boise, ID 83713
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Accepted Insurance

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

Cali J Bradberry 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 ID4981870318
PECOS Enrollment IDI20120105000604
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 2

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.

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.
117 services43 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.
88 services48 patients

Other Providers at the Same Location NPPES 17

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

JOSE GERARDO PACHECO LICSW, MSW
Social Worker (Clinical)
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 996-0931
PHYSICIANS CLINIC PLLC
Family Medicine
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500
DR. KIRK A. CAMPANA M.D.
General Practice
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500
DR. KALIN AMENDE PHD, LPC, PCLC
Counselor
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 691-1538
MS. HOLLEY REILLY BLITZ MA MFT
Marriage & Family Therapist
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 996-0931
MR. CARY SHELTON LCSW
Social Worker (Clinical)
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 996-0931
CHERYL C AMYX
Nurse Practitioner
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500
MARY PAIGE JEFFRESS FNP-C
Nurse Practitioner (Family)
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500

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 Cali Bradberry's NPI number?

The NPI number for Cali Bradberry is 1831473198. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Where is Cali Bradberry located?

Cali Bradberry practices at 4750 N Five Mile Rd, Boise, ID 83713. The listed phone number is (208) 375-0500.

What is Cali Bradberry's specialty?

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

Is Cali Bradberry enrolled in Medicare?

Yes. Cali Bradberry 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 Cali Bradberry accept?

Health plans from PacificSource Health Plans and Select Health list Cali Bradberry 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.

When was this NPI record last updated?

The NPPES record for Cali Bradberry was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.