Brad Reid Edwards
DO | Pediatrics | Male
Brad Reid Edwards, DO is a Idaho Falls, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Brad Reid Edwards is
3430 Washington Pkwy, Idaho Falls, Idaho - 83404-7579. He can be contacted on phone at
208-523-3060 and fax number 208-523-0028.
Brad Reid Edwards is a sole proprietor of his business.
NPI number (Unique professional ID) for Brad Reid Edwards is
1093829657 which was assigned by NPPES on 19 Aug, 2006 and it was last updated on 30 Sep, 2009.
Brad Reid Edwards license number is
O316 for Pediatrics (208000000X) in Idaho.
Brad Reid Edwards is a pediatrician who 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.
Complete Profile:
Brad Reid Edwards basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Brad Reid Edwards |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Brad Reid Edwards address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
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| Phone Number : | 208-523-3060 |
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| Fax Number : | 208-523-0028 |
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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.
| NPI Number : | 1093829657 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Aug, 2006 |
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| Last Updated On : | 30 Sep, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brad Reid Edwards are as mentioned. Primary taxonomy code for Brad Reid Edwards, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | O316 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Brad Reid Edwards such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1285786046 | MEDICAID | WY | |
| 806644500 | MEDICAID | ID | |
| 000010143893 | Other | ID | BLUE SHIELD |
| 0117436 | MEDICAID | MT | |
| 54380 | Other | ID | BLUE CROSS |
| 123957100 | MEDICAID | WY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
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| Phone Number : | 208-523-3060 |
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| Fax Number : | 208-523-0028 |
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Business Location:
Patients can refer following map for directions to
Brad Reid Edwards practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.