Mr. Bradley James Heninger, PA-C
Mr. Bradley James Heninger, PA-C is a Physician Assistant in Fruitland, Idaho. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.
- Years since qualifying
- 15
- Licensed in
- ID, OR
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
910 NW 16th St Ste 205Fruitland, ID 83619 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 452-3111
Fax: (208) 452-3666
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA-1026 (ID) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X (OR) |
Record details
| NPI number | 1205103389 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 17, 2011 |
| Last updated in NPPES | February 17, 2016 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 393 |
|---|---|
| Services billed | 734 |
| Average patient age | 75 |
Payments from drug and device companies, 2025
| Food and Beverage | $332 |
|---|
Practises at
- St Luke'S Nampa Medical Center Hospital · Nampa, ID · listed as St Lukes Nampa Medical Center Ltd
- St Luke'S Regional Medical Center Hospital · Boise, ID
Colleagues at St Lukes Clinic-Treasure Valley LLC
- Mr. Kacey L Andreasen, PA-C Medical Physician Assistant · Ontario, OR
- Dr. Donald John Blaskiewicz, MD Neurological Surgery Physician · Boise, ID
- Kacey Blea Student in an Organized Health Care Education/Training Program · Boise, ID
- Chelsea E Dedlow, NP Family Nurse Practitioner · Boise, ID
- Anne Jordan Fox, MD Student in an Organized Health Care Education/Training Program · Boise, ID
- Mark L Holbrook, MD Internal Medicine Physician · Boise, ID
- Katherine Elizabeth Kramme, DO Surgery Physician · Meridian, ID
- Mr. Matthew Rand Lindley, MSW Social Worker · Boise, ID
- Elizabeth Anne Malarkey, FNP-C Occupational Health Nurse Practitioner · Meridian, ID
- Audrey Brynn Rush, NP-C Nurse Practitioner · Loveland, CO
- Dr. Michael D Severson, MD Anesthesiology Physician · Meridian, ID
- Cynthia Tremblay, PSYD Clinical Neuropsychologist · Boise, ID
Other providers in Fruitland
-
Jared Anthony Bradford, PA
1210 NW 16th St, Fruitland, ID 83619-2202 · (208) 452-8600
-
Charles Edward Brioschi Jr., PA
910 NW 16th St Ste 205, Fruitland, ID 83619-2265 · (208) 452-3111
-
Sean P Hackett, PA-C
1210 NW 16th St, Fruitland, ID 83619-2202 · (208) 452-8600
-
Victor M Ishida, PA
910 NW 16th St Ste 101, Fruitland, ID 83619-2265 · (208) 452-8050
-
Brett Johansen, PA-C
1210 NW 16th St, Fruitland, ID 83619-2202 · (208) 452-9881
-
Mrs. Crysta Kimes, PA
910 NW 16th St Ste 101, Fruitland, ID 83619-2265 · (208) 452-8000
-
Kayla A Nagy, PA-C
1100 NW 12th St, Fruitland, ID 83619-5040 · (208) 452-6556