All Medicaid billing entities listing BIGFORD, BRADLEY (SOLE MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $27K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TABLE ROCK MOBILE MEDICINE PLLC | MERIDIAN, ID | Family Nurse Practitioner | $27K |