Search › Idaho › 171M00000X
Bradley Moran
NPI 1457221897 · on the registry since 2025
Practice
- Address
- 1407 W Mcmillan Rd Ste 120
Meridian, ID 83646 - Phone
- (208) 995-3203
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-10
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