IndividualActive
Brad Edwards, DO
NPI 1093829657 · Pediatrics Physician · Idaho Falls, ID
Provider details
- NPI number
- 1093829657
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O316 (ID)
Practice location
3430 Washington Pkwy
Idaho Falls, ID 83404-7579
Phone: (208) 523-3060
Fax: (208) 523-0028
Mailing address
3430 Washington Pkwy
Idaho Falls, ID 83404-7579
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2009-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.