IndividualActive
Bradley Moran
NPI 1457221897 · Case Manager/Care Coordinator · Meridian, ID
Provider details
- NPI number
- 1457221897
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1407 W Mcmillan Rd Ste 120
Meridian, ID 83646-5168
Phone: (208) 995-3203
Approximate (ZIP-level) locationGet directions
Mailing address
10433 W Merab Dr
Star, ID 83669-5451
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.