Brian R Bradshaw is a Dermatology in Provo, Utah. Brian R Bradshaw practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Brian R Bradshaw is 1811955800. The last update date is 2023-11-27.
Brian R Bradshaw's current location address is 1055 N 500 W, Provo, Utah. You can contact this provider via phone number 8013748999 and fax number 8014298063. The mailing address for Brian R Bradshaw is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian R Bradshaw |
|---|---|
| Address | 1055 N 500 W, Provo, Utah |
| Phone Number | 8013748999 |
| Fax Number | 8014298063 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811955800 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 1055 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043305 |
| Phone Number | 8013748999 |
| Fax Number | 8014298063 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 2806031205 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 03-00064 | UT | UNITED HEALTHCARE | |
| 36578 | UT | PEHP | |
| QM0000001619 | UT | ALTIUS | |
| 225984 | UT | DMBA | |
| 107006919101 | UT | IHC HEALTHPLANS | |
| 70008058 | UT | PALMETTO |
Post Comment/ Review Below
What is the Brian R Bradshaw's 1811955800?
The Brian R Bradshaw's NPI (National Provider Identifier) Number is 1811955800. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brian R Bradshaw?
The Brian R Bradshaw is situated at 1055 N 500 W, in the city of Provo, state of UT, with the zip code 846043305.
What is Brian R Bradshaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian R Bradshaw's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date was the 1811955800 assigned to Brian R Bradshaw?
The Brian R Bradshaw was issued its 1811955800 on 2006-05-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brian R Bradshaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian R Bradshaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-27.