| Bradley M Watts, DO | |
|
5360 S 2700 W, Taylorsville, UT 84129-1524 | |
| (801) 996-9761 | |
| (802) 996-9762 |
| Full Name | Bradley M Watts |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 5360 S 2700 W, Taylorsville, 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 |
|---|---|---|---|
| 1043741929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11647062-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Lone Peak Hospital | Draper, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountainstar Medical Group-st. Marks Hospital Llc | 1557443322 | 13 |
| Entity Name | Mountainstar Medical Group-st. Marks Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073795258 PECOS PAC ID: 1557443322 Enrollment ID: O20080201000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley M Watts, DO Po Box 198560, Atlanta, GA 30384-8560 Ph: () - | Bradley M Watts, DO 5360 S 2700 W, Taylorsville, UT 84129-1524 Ph: (801) 996-9761 |
Zorica Andrea Ljubic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 | |
Dr. Luke Joshua Heitz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 | |
Dr. Lillian Elizabeth Hayes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 801-964-6214 Fax: 877-497-4661 | |
Faryal Turtle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 Fax: 801-840-2179 | |
Krystal G Bramwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 | |
Jessica Petrovich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 801-964-6214 Fax: 877-497-4661 |