Bradley Isaac Pearson Travis, RN

Registered Nurse · Moscow, ID

Individual Active NPI

NPI number 1770464448

Practice location

700 S Main St
Moscow, ID 83843-3046
Phone
(208) 699-7387

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NPI record

NPI
1770464448
Entity type
Individual (Type 1)
Enumeration date
September 10, 2025
Last updated
September 10, 2025
Certified
September 10, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 9639585 FL

Mailing address

900 NE Maple St
Pullman, WA 99163-3929
Phone
(208) 699-7387

About Bradley Travis

Bradley Isaac Pearson Travis, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 700 S Main St, Moscow, ID 83843-3046. The NPI number 1770464448 was assigned on September 10, 2025 and the record was last updated on September 10, 2025.

Bradley Travis lists a license in the registry: #9639585 (FL) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley Isaac Pearson Travis, RN?

The NPI number is 1770464448.

What is the phone number of Bradley Travis?

The phone number listed for the practice location is (208) 699-7387.

Where is Bradley Travis located?

700 S Main St, Moscow, ID 83843-3046.

What is the taxonomy code for Bradley Travis?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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