BRADLEY WOODFIELD – Certified Registered Nurse Anesthetist, NPI 1235685363

BRADLEY WOODFIELD is a healthcare provider. based in Boise, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 54257 (ID). The NPI Number for BRADLEY WOODFIELD is 1235685363

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY WOODFIELD
NPI
1235685363
Phone
Not provided
Address
338 E BANNOCK ST
Enumeration Date
29 August 2016
Last Update Date
22 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083360895
Graduation Year
2016 (10 years ago)
PAC ID
7517255102
Group Practice PAC ID
2668385287
Professional Enrollment ID
I20161014000516
Address ID
ID837126207BO338XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for BRADLEY WOODFIELD

  • 338, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126207

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161014000516ICertified Registered Nurse Anesthetist (Crna)IDTBD
I20190311000825ICertified Registered Nurse Anesthetist (Crna)UTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36620Insertion of artery tube for blood sampling or infusion through skin2323$0
01926Anesthesia for x-ray on artery of brain, heart, or chest1515$0
00567Anesthesia for heart artery bypass grafting on heart-lung machine1111$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668385287View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YID
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID

Reviews

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Frequently asked questions

What NPI should I save for BRADLEY WOODFIELD?
Save NPI 1235685363 if you need a stable reference for BRADLEY WOODFIELD.
Does this profile mean BRADLEY WOODFIELD is currently active?
Yes — BRADLEY WOODFIELD appears active in the national provider directory.
Does BRADLEY WOODFIELD list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for BRADLEY WOODFIELD. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRADLEY WOODFIELD?
The page summarizes Boise, Idaho for BRADLEY WOODFIELD; expand the address list for detail.
Is BRADLEY WOODFIELD a real provider?
This page reflects official NPPES data for NPI 1235685363. Always confirm identity and privileges with the practice and licensing boards.

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