BRADLEY DALE PEARSON MPT NPI 1184950016

NPI Information

  • NPI: 1184950016
  • Provider Name: BRADLEY DALE PEARSON, MPT
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 720 S WOODRUFF AVE
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 552-5025

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NPI Details

Bradley Dale Pearson, MPT is a specialist in Idaho Falls, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Bradley Dale Pearson, MPT NPI is 1184950016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 S WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83401-285
Phone: (208) 552-5025
Fax: (208) 552-5029

The enumeration date for this NPI number is 10/28/2009 and was last updated on 10/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistPT-1125IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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