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Wellberry PLLC

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Company Details

Name: Wellberry PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Apr 2023 (2 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 5179734
Place of Formation: IDAHO
File Number: 872311
ZIP code: 83401
County: Bonneville County
Principal Address: 333 S WOODRUFF AVE IDAHO FALLS, ID 83401
Mailing Address: ANDREW BRADBURY 333 S WOODRUFF AVE IDAHO FALLS, ID 83401-4322

Agent

Name Role Address
Andrew Bradbury Agent 333 S WOODRUFF AVE, ANDREW BRADBURY, IDAHO FALLS, ID 83401

Manager

Name Role Address Appointed On
Andrew R Bradbury Manager 1641 SUNNY PINE WAY, IDAHO FALLS, ID 83404 2024-04-03
Andrew Bradbury Manager 333 S WOODRUFF AVE, IDAHO FALLS, ID 83401 2025-03-03

National Provider Identifier

NPI Number:
1902654429
Certification Date:
2024-05-09

Authorized Person:

Name:
DR. ANDREW RYAN BRADBURY
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2082180845

Filing

Filing Name Filing Number Filing date
Annual Report 0006138526 2025-03-03
Annual Report 0005671370 2024-04-03
Change of Registered Office/Agent/Both (by Entity) 0005659490 2024-03-26
Statement of Change of Business Mailing Address 0005659428 2024-03-26
Statement of Change of Business Mailing Address 0005659483 2024-03-26

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State