| Bradford Jason Stevenson, MD | |
|
4700 Harrison Blvd, Ogden, UT 84403-4303 | |
| (801) 475-3160 | |
| (801) 475-3161 |
| Full Name | Bradford Jason Stevenson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 4700 Harrison Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710298047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 9294521-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ogden Clinic Specialty Services Llc | 1658781422 | 118 |
| Entity Name | Ogden Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780 |
| Entity Name | Ogden Clinic Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Jason Stevenson, MD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 397-6100 | Bradford Jason Stevenson, MD 4700 Harrison Blvd, Ogden, UT 84403-4303 Ph: (801) 475-3160 |
Dr. Curtis M Campbell, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Suite 4400, Ogden, UT 84403 Phone: 801-387-4550 Fax: 801-387-4565 | |
Dr. John S Wolthuis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3000 Fax: 801-475-3001 | |
Brian W Heaton Sr., MD PC Urology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 4400, Ogden, UT 84403 Phone: 801-387-4550 Fax: 801-387-4565 | |
Robert O Wayment, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3160 Fax: 801-475-3161 | |
Tyler L Christensen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3160 Fax: 801-475-3161 |