Dr. Bradley P Gardner is a Idaho Falls, Idaho based male Ophthalmologist with 36 years of experience in Ophthalmology. He completed his graduation from Un Of California, Irvine, College Of Medicine in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Bradley P Gardner is M6282 for Ophthalmology in Idaho. Dr. Bradley P Gardner is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Bradley P Gardner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
36+ years
Medical School Attended:
Un Of California, Irvine, College Of Medicine
Graduation Year:
1988
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2025 E 17th St, Idaho Falls, Idaho, 83404
Phone:
208-524-2025
Fax:
208-529-1924
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8921095407
Enrollment ID:
I20100722000739
NPI Number:
1255408217
NPI Enumeration Date:
28 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley P Gardner are as mentioned below.
License Number
Specialization
State
Status
M6282
Ophthalmology
Idaho
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bradley P Gardner has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Idaho Eye Center Pa (1557358025)
7
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bradley P Gardner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000010000074
Other
Idaho
BLUE SHIELD
000010000078
Other
Idaho
BLUE SHIELD
312742
Other
Wyoming
BLUE CROSS
5925A
Other
Wyoming
STATE LIC #
DD552
Other
Idaho
BLUE CROSS
DW227
Other
Idaho
BLUE CROSS
J4241
Other
Idaho
BLUE CROSS
J6428
Other
Idaho
BLUE CROSS
000010000077
Other
Idaho
BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2025 E 17th St, Idaho Falls, Idaho
Zip:
83404
Phone Number:
208-524-2025
Fax Number:
208-529-1924
Patients can reach Dr. Bradley P Gardner at 2025 E 17th St, Idaho Falls, Idaho or can call to book an appointment on 208-524-2025. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.