NPI age
7 years
Enumerated 2019-03-11
● Active
Type 1 · Individual
DR. Bradley Phillips
Phillips is 1 of 1 pediatrics providers in Mountain Home Afb and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Practice location
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 836481062
Mailing address
90 Hope Dr
Mountain Home Afb, ID 836481057
Additional practice locations
1 secondary location on file with NPPES.
Location 2
190 E Bannock St
Boise, ID 837126241
Specialties
-
Pediatrics PrimaryA pediatrician 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...
-
Preventive MedicineAerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation...
Practice context
Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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