| Mr Bradford Nicholas Ence, MD | |
|
4401 Harrison Blvd, Ogden, UT 84403-3195 | |
| (801) 387-2800 | |
| (770) 701-6675 |
| Full Name | Mr Bradford Nicholas Ence |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 12 Years |
| Location | 4401 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 |
|---|---|---|---|
| 1255770392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01078811A (Indiana) | Secondary |
| 207L00000X | Anesthesiology | 84697-20 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 9188963-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Layton Hospital | Layton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Anesthesia Llc | 9032018502 | 256 |
| Vituity-wisconsin Anesthesia Sc | 2163968819 | 113 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradford Nicholas Ence, MD Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | Mr Bradford Nicholas Ence, MD 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: (801) 387-2800 |
Mark S Naisbitt, M.D., PC Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 Fax: 801-733-5618 | |
Dr. John L Haws, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 | |
Bryce Larre Egbert, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 Fax: 770-701-6675 | |
Dr. Andrew W. Allen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-727-2056 Fax: 770-701-6675 | |
Michael Laurence Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 | |
Mr. Spencer B Hyde, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 Fax: 770-701-6675 | |
Brian K Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 Phone: 801-507-5248 Fax: 801-733-5618 |