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Bradley Phillips
NPI 1245798180 · on the registry since 2019
Practice
- Address
- 90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648 - Phone
- (208) 828-7362
- Fax
- (208) 828-1916
- Organisation at this address
- Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain HomeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Additional practice sites
- 190 E Bannock St, Boise, ID
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Also registered as
- Aerospace Medicine Physician
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho