Bradley Dryden Root in Provo - Pain Medicine
Bradley Dryden Root - NPI 1154312197
Bradley Dryden Root is a Pain Medicine in Provo, Utah. Bradley Dryden Root practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Bradley Dryden Root is 1154312197. The last update date is 2017-06-14.
Bradley Dryden Root's current location address is 1055 N 500 W, Provo, Utah. You can contact this provider via phone number 8013548225 and fax number 8014180941. The mailing address for Bradley Dryden Root is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dryden Root |
|---|---|
| Address | 1055 N 500 W, Provo, Utah |
| Phone Number | 8013548225 |
| Fax Number | 8014180941 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1154312197 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2017-06-14 |
Provider Mailing Address Detail
| Address | 1055 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043305 |
| Phone Number | 8013548225 |
| Fax Number | 8014180941 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 328393-1204 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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What is the unique 10-digit identification code assigned to Bradley Dryden Root by the Centers for Medicare & Medicaid Services?
The Bradley Dryden Root has been issued the NPI (National Provider Identifier) 1154312197, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley Dryden Root?
The Bradley Dryden Root is situated at 1055 N 500 W, in the city of Provo, state of UT, with the zip code 846043305.
What is Bradley Dryden Root's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley Dryden Root is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081P2900X.
On what date did the Bradley Dryden Root receive the assignment of its 1154312197 from the Centers for Medicare & Medicaid Services?
The Bradley Dryden Root was issued its 1154312197 by the Centers for Medicare & Medicaid Services on 2005-10-31.
When was the information regarding Bradley Dryden Root, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Dryden Root, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-06-14.