Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON MILES BRADFORD, PA
ActiveJACKSON MILES BRADFORD, PA is a Physician Assistant healthcare provider located in AMERICAN FORK, Utah. NPI 1477314003 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · AMERICAN FORK, UT
Registration Details
- NPI Number
- 1477314003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2024 (2.5187193148251 yrs)
- Last Updated
- Dec 18, 2024
- License
-
14078197-1206 (UT)
Practice Information
- Address
-
1175 E 50 S STE 221AMERICAN FORK, UT, 840032845Browse UT providers · Browse ZIP 84003
- Phone
- 8017720775
- Fax
- 8017721941
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in AMERICAN FORK, UT
| Name | Credential | NPI |
|---|---|---|
| DAVID T WALDRON | PA | 1669418455 |
| DAWN THI THUY NGO | PA-C | 1194805978 |
| ROBERT TODD SUMPTER | PA-C | 1316064421 |
| MR. BRADLEY B ANDREW | P.A. | 1801013230 |
| STEVEN MICHAEL RUIZ | PA-C | 1649498890 |
| LARRY C CHAPA | PA | 1912125188 |
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.