Brian R Bradshaw, MD in Provo, UT - Medicare Dermatology

Brian R Bradshaw, MD is a medicare enrolled "Dermatology" physician in Provo, Utah. He went to University Of Utah School Of Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1055 N 500 W, Suite 111, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 374-8999.

Brian R Bradshaw is licensed to practice in Utah (license number 2806031205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811955800.

Contact Information

	Brian R Bradshaw, MD
	1055 N 500 W, Suite 111, Provo, UT 84604-3305
	(801) 374-8999
	(801) 429-8063

Map and Direction

Physician's Profile

Full Name	Brian R Bradshaw
Gender	Male
Speciality	Dermatology
Experience	37 Years
Location	1055 N 500 W, Provo, 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.

Medical Education and Training:

Brian R Bradshaw attended and graduated from University Of Utah School Of Medicine in 1988

NPI Data:

NPI Number: 1811955800
Provider Enumeration Date: 05/02/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6002862935
Enrollment ID: I20050323001451

Medical Identifiers

Medical identifiers for Brian R Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811955800	NPI	-	NPPES
03-00064	Other	UT	UNITED HEALTHCARE
36578	Other	UT	PEHP
QM0000001619	Other	UT	ALTIUS
225984	Other	UT	DMBA
107006919101	Other	UT	IHC HEALTHPLANS
070008058	Other	UT	PALMETTO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	2806031205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	388

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian R Bradshaw allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian R Bradshaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brian R Bradshaw, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Brian R Bradshaw, MD 1055 N 500 W, Suite 111, Provo, UT 84604-3305 Ph: (801) 374-8999

Reviews and Comments

Dermatology Doctors in Provo, UT

Dr. Payam Tristani-firouzi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 111, Provo, UT 84604 Phone: 801-374-8999 Fax: 801-429-8063
Dr. Richard L Stone, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 N University Ave Ste 23, Provo, UT 84604 Phone: 801-377-4745 Fax: 801-373-5762
Jake Fagan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W # 111, Provo, UT 84604 Phone: 801-374-8999
Garrett C Lowe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 N Canyon Rd Ste D, Provo, UT 84604 Phone: 801-373-3300 Fax: 801-354-7900
Mr. Gregory J Wing, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W Ste 111, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941
Margaret Hammond, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd Ste 604, Provo, UT 84604 Phone: 801-357-0613

Brian R Bradshaw, MD - Medicare Dermatology in Provo, UT