Table Rock Mobile Medicine PLLC
NPI 1194186437ActiveOrganization· Nurse Practitioner, Family· Meridian, ID
Nurse Practitioner, Family in Meridian, Idaho, registered in NPPES in March 2016. The authorized official on file is Bradley Bigford, MSN, NP-C, Sole Member.
Overview
| NPI | 1194186437 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2016 |
| Last updated in NPPES | May 11, 2024 |
| Certified by provider | May 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NP-1252A | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner, Family providers in Meridian
- 1801567029
- 1326345661
- 1568093136
- 1295138261
- 1104680602
- 1033424429
- 1538668421
- 1952845109
- 1285293118
- 1043868995
- 1912221318
- 1205435757