Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA BRADLEY BLACK, PA-C
ActivePhysician Assistant · PROVO, UT
Registration Details
- NPI Number
- 1346972502
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2022 (3.8465192984214 yrs)
- Last Updated
- Oct 3, 2023
- License
-
13603008-1206 (UT)
Practice Information
- Address
-
1055 N 500 W BLDG APROVO, UT, 846043305Browse UT providers · Browse ZIP 84604
- Phone
- 8018125033
- Fax
- 8014180941
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| JEFFREY D PIERSON | PA-C | 1861490609 |
| BRET D HILTON | PA | 1467451609 |
| STEVEN R NIELSON | PA | 1184623217 |
| JOHN ZACHARY | PA | 1871580829 |
| JOHN A WHITEHEAD | PA | 1619935053 |
| CORY NATHANAEL MILLER | PA | 1346298510 |
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.