Gordon Bradley Greaves
PA | Nurse Practitioner | 24+ years Exp
15821 Allendale Rd, Wilder
Idaho, 83676-5864
208-278-2863
Accepts Medicare Nurse Anesthetist in Wilder, Idaho.Gordon Bradley Greaves is a Wilder, Idaho based nurse practitioner with 24 years of experience in Nurse Practitioner. He completed his graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gordon Bradley Greaves is PA615 for Nurse Practitioner in Idaho. His current practice location is 15821 Allendale Rd, Wilder. Patients can reach him at 208-278-2863 or can fax him at 208-621-3128. Gordon Bradley Greaves is PA with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1699708131.
Gordon Bradley Greaves has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Gordon Bradley Greaves speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Gordon Bradley Greaves |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | PA |
| Experience: | 24+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2002 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 15821 Allendale Rd, Wilder, Idaho, 83676-5864 |
| Phone: | 208-278-2863 |
| Fax: | 208-621-3128 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6204739113 |
| Enrollment ID: | I20061101000271 |
| NPI Number: | 1699708131 |
| NPI Enumeration Date: | 08 Jul, 2006 |
| NPI Last Update On: | 14 Apr, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gordon Bradley Greaves are as mentioned below.
| License Number | Specialization | State | Status | |
| PA615 | Nurse Practitioner | Idaho | Primary | |
| 16369 | Physician Assistant | California | Secondary | |
| PA615 | Psych/Mental Health | Idaho | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Gordon Bradley Greaves is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Perma Mental Health Pllc (3577887041) | 6 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Gordon Bradley Greaves such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 807537400 | Medicaid | Idaho | |
| 16369 | Other | California | PA LICENSE |
| PA615 | Other | Idaho | IDAHO BOARD OF MEDICINE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Gordon Bradley Greaves 15821 Allendale Rd, Wilder, Idaho |
| Zip: | 83676-5864 |
| Phone Number: | 208-278-2863 |
| Fax Number: | 208-621-3128 |
Patients can reach Gordon Bradley Greaves at
15821 Allendale Rd, Wilder, Idaho or can
call to book an appointment on 208-278-2863.
Comments/ Reviews:
Patients can read all the reviews posted for Gordon Bradley Greaves below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Gordon Bradley Greaves. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.