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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN R BRADSHAW, MD

Active

BRIAN R BRADSHAW, MD is a Dermatology healthcare provider located in PROVO, Utah. NPI 1811955800 is currently active in the NPPES registry. Verify at CMS.

Dermatology · PROVO, UT

Registration Details

NPI Number
1811955800
Provider Type
Individual
Gender
Male
NPI Issued
May 2, 2006 (20.297140448504 yrs)
Last Updated
Nov 27, 2023
License
2806031205 (UT)

Practice Information

Address
1055 N 500 W
SUITE 111
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8013748999
Fax
8014298063
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in PROVO, UT

Name Credential NPI
DR. RICHARD L STONE M.D. 1548262801
MARK L DONALDSON MD 1982662102
DR. PAYAM TRISTANI-FIROUZI M.D. 1407943921
KEVIN HALL GARDNER DO 1639490386
GARRETT C LOWE MD 1558658237
MARGARET HAMMOND 1770015018
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.