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BRADFORD L. TALCOTT, M.D., PH.D., P.C.

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Company Details

Name: BRADFORD L. TALCOTT, M.D., PH.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 20 Mar 2008 (17 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 537801
Place of Formation: IDAHO
File Number: 537801
ZIP code: 83404
County: Bonneville County
Mailing Address: 2680 CHANNING WAY IDAHO FALLS, ID 83404-7517

Agent

Name Role Address
BRADFORD TALCOTT Agent 2680 CHANNING WAY, IDAHO FALLS, ID 83404

Treasurer

Name Role Address Appointed On
JENNIFER TALCOTT Treasurer 2680 CHANNING WAY, IDAHO FALLS, ID 83404 2021-04-07

Secretary

Name Role Address Appointed On Resigned On
JENNIFER TALCOTT Secretary 2680 CHANNING WAY, IDAHO FALLS, ID 83404 2024-03-07 2024-03-07

President

Name Role Address Appointed On Resigned On
BRADFORD L TALCOTT President 2680 CHANNING WAY, IDAHO FALLS, ID 83404 2024-03-07 2024-03-07

National Provider Identifier

NPI Number:
1407015282

Authorized Person:

Name:
DR. BRADFORD L TALCOTT
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
2085524856

Form 5500 Series

Employer Identification Number (EIN):
262214659
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
11
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006143120 2025-03-05
Annual Report 0005639766 2024-03-07
Annual Report 0005155169 2023-03-14
Annual Report 0004630902 2022-03-03
Annual Report 0004238152 2021-04-07

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State