NPI age
10 years
Enumerated 2016-03-15
● Active Type 2 · Organization
Table Rock Mobile Medicine Pllc
Table Rock Mobile Medicine Pllc is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bigford
Sole Member
Last NPPES update
2024-05-11
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
10 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-03Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
3090 E Gentry Way Ste 210
Meridian, ID 836423550
Mailing address
Po Box 44953
Boise, ID 837110953
Authorized official
Bradley Bigford, MSN, NP-C
Sole Member
📞 9862248420
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Bradley Bigford, NP-C Nurse Practitioner NPI 1588007843
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.