P Praxis·MD
● Active Type 1 · Individual

Bradford Nelson Hatch, MD

Pediatrics·Idaho Falls, ID· NPI 1265546915 · Enumerated 2006 · 19 years on NPI
Hatch is 1 of 15 pediatrics providers in Idaho Falls and 1 of 252 in Idaho.
NPI age
19 years
Enumerated 2006-08-19
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-09-30
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
19 years
≈ at median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
3430 Washington Pkwy
Idaho Falls, ID 834047579
📞 2085233060fax 2085230028
Mailing address
3430 Washington Pkwy
Idaho Falls, ID 834047579
📞 2085233060fax 2085230028

Specialties

  • Pediatrics Primary
    A 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...
    ID license #M9056 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (MT) 0117390
01 (ID) 000010147366 BLUE SHIELD
01 (ID) 70987 BLUE CROSS
05 (ID) 806891000
05 (WY) 123958900
05 (WY) 1285786046

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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