Gordon Bradley Greaves is a Wilder, Idaho based nurse practitioner with 23 years of experience in . 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 in Idaho. His current practice location is 15821 Allendale Rd, Wilder. Patients can reach him at 801-664-1757. Gordon Bradley Greaves is PA 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.
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:
08 Jan, 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
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
PA615
Other
Idaho
IDAHO BOARD OF MEDICINE
16369
Other
California
PA LICENSE
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:
801-664-1757
Patients can reach Gordon Bradley Greaves at 15821 Allendale Rd, Wilder, Idaho or can call to book an appointment on 801-664-1757.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.