Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT BRUDERER, PA
ActivePhysician Assistant · DRAPER, UT
Registration Details
- NPI Number
- 1003988205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2006 (19.4343586526 yrs)
- Last Updated
- Mar 19, 2025
- Licenses
-
282815-1206 (UT)2828151206 (UT)
Practice Information
- Address
-
1126 E 12300 SDRAPER, UT, 840209095Browse UT providers · Browse ZIP 84020
- Phone
- 8015450500
- Fax
- 8015450626
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DRAPER, UT
| Name | Credential | NPI |
|---|---|---|
| VANESSA EILEEN BEARD-ELY | PA | 1730140484 |
| MR. PATRICK BARNES | P.A. | 1447329164 |
| JENNIFER HOLT JOHNSON | PA-C | 1225288376 |
| LAURA KATHERINE COOK | PA-C | 1841577681 |
| KRISTEN DANIELLE CARRIER | PA-C | 1861764268 |
| KENT MA | PA | 1568700375 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.