P Praxis·MD
● Active Type 1 · Individual

Cali J Bradberry, PA-C

Physician Assistant·Boise, ID· NPI 1831473198 · Enumerated 2011 · 14 years on NPI
Bradberry is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
NPI age
14 years
Enumerated 2011-10-05
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
14 years
≈ at median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
2
In the 30% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-10Enumerated in NPPES
2011 2026

Where they practice

Practice location
4750 N Five Mile Rd
Boise, ID 837132715
📞 2083750500fax 2083754310
Mailing address
5985 W State St
Boise, ID 837033039
📞 2088530071fax 2088539422

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-937 taxonomy 363AM0700X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA-937 taxonomy 363A00000X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    ID license #PA-937 taxonomy 2084P0800X

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Boise in the last 180 days. See all →
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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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