NPI age
19 years
Enumerated 2006-11-28
● Active
Type 1 · Individual
DR. Bradley P Gardner, MD
Gardner is 1 of 12 ophthalmology providers in Idaho Falls and 1 of 122 in Idaho.
Primary specialty
Ophthalmology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 122 active ophthalmology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
2025 E 17th St
Idaho Falls, ID 83404
Mailing address
2025 E 17th St
Idaho Falls, ID 83404
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010000074 | BLUE SHIELD |
| 01 (ID) | 000010000078 | BLUE SHIELD |
| 01 (WY) | 312742 | BLUE CROSS |
| 01 (WY) | 5925A | STATE LIC # |
| 01 (ID) | DD552 | BLUE CROSS |
| 01 (ID) | DW227 | BLUE CROSS |
| 01 (ID) | J4241 | BLUE CROSS |
| 01 (ID) | J6428 | BLUE CROSS |
| 01 (ID) | 000010000077 | BLUE SHIELD |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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