HomeNPI Verification

NPI Verification

National Provider Identifier: 1063851434

Bradley Yamashita Beaufort, DO

Individual Provider

Credentials

DO

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

465 MEMORIAL DR

POCATELLO, ID 832014008

Phone: 208-282-4700

NPI Enumeration Date

June 19, 2013

NPI Number

1063851434

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Bradley Beaufort, DO - NPI 1063851434 | Provider Verification | HormoneMap