# WELLBERRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellberry Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902654429
- **Authorized official:** DR. ANDREW RYAN BRADBURY MD (PHYSICIAN)
- **Authorized official phone:** (208) 403-7774

## Contact information

- **Practice address:** 333 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
- **Practice address phone:** (208) 413-7917
- **Practice address fax:** (208) 218-0845
- **Mailing address:** 333 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
- **Mailing address phone:** (208) 413-7917
- **Mailing address fax:** (208) 218-0845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2024
- **Last updated:** 05/09/2024