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WELLBERRY PLLC
NPI 1902654429
Family Medicine in Idaho Falls, ID

Active since May 09, 2024CLIA 13D2307141 · Waiver
333 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 413-7917(208) 218-0845 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellberry Pllc NPPES

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

WELLBERRY PLLC (NPI 1902654429), doing business as Wellberry Health, is a healthcare organization registered as a family medicine in Idaho Falls, Idaho and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Andrew Ryan Bradbury, Physician, as its authorized official.

NPPES Registry Identity

NPI1902654429
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLBERRY PLLC
Location Address333 S WOODRUFF AVEIdaho Falls, ID 83401-4322
Mailing Address333 S Woodruff AveIdaho Falls, ID 83401-4322 · (208) 413-7917 · Fax (208) 218-0845
Phone(208) 413-7917
Fax(208) 218-0845
Organization SubpartNo
Authorized OfficialAndrew Ryan BradburyPhysician · (208) 403-7774
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1902654429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
333 S WOODRUFF AVE, Idaho Falls, ID 83401
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Other Names 1

Doing Business AsWellberry Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2307141

Wellberry Health · Idaho Falls, ID
Active · expires Jul 1, 2028
CLIA Number13D2307141
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorAndrew R. Bradbury
Laboratory Phone(208) 413-7917
Laboratory LocationWellberry Health333 S Woodruff Ave, Idaho Falls, ID 83401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

OWEN DENTAL, PC
Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-4700
KEVIN RICHARD MUDROW D.D.S.
Dentist
333 S WOODRUFF AVE, SUITE F
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2030
RUSSELL GUYMON ORTHODONTICS, PA
Dentist (Orthodontics and Dentofacial Orthopedics)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 529-3500
KEVIN MUDROW DDS PLLC
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2036
VERNON O. GAFFNER, D.M.D., P.A.
Dentist
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2034
VERNON O GAFFNER D.M.D.
Dentist (General Practice)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-2034
SCOTT M BLAKE DDS
Dentist (Oral and Maxillofacial Pathology)
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-2160
DR. RYAN MCGRAW DC
Chiropractor
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 522-2591

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 Wellberry PLLC's NPI number?

The NPI number for Wellberry PLLC is 1902654429. It was assigned to this organization in the NPPES registry on May 9, 2024. The provider is doing business as Wellberry Health.

Where is Wellberry PLLC located?

Wellberry PLLC is located at 333 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 413-7917.

What is Wellberry PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wellberry PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2307141) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellberry PLLC was last updated on May 9, 2024. 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.