DR. Bradley Paul Roth, MD is a student in an organized health care education training program in Idaho Falls, ID with 4 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Bradley Paul Roth, MD NPI is 1265061493. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2020
The provider's business location address is:
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (208) 529-6111
The NPI 1265061493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/8/2020 and was last updated on 4/8/2020.