DR. BRADLEY DRYDEN ROOT


Address: 1424 E Foremaster Dr Ste 120, St George, UT 84790-5844
Phone: 4356568800

DR. BRADLEY DRYDEN ROOT (NPI# 1154312197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154312197
Entity Type Individual
Full Name DR. BRADLEY DRYDEN ROOT
Credential D.O.
Practice Address 1424 E Foremaster Dr Ste 120
St George
UT 84790-5844
Mailing Address 1055 N 500 W
Attn: Credentialing
Provo
UT 84604-3305
Practice Telephone 4356568800
Practice Fax Number 4356271809
Mailing Telephone 8013548225
Mailing Fax Number 8014180941
Enumeration Date 2005-10-31
Last Update Date 2017-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
328393-1204 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 1424 E FOREMASTER DR STE 120
City ST GEORGE
State UT
Zip Code 84790-5844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043325715 Stephen Jason Tomlinson Physical Therapist 1424 E Foremaster Dr Ste 120, St George, UT 84790-5844 2006-08-20
1558377309 Grant Logan Blatter Physical Therapist 1424 E Foremaster Dr Ste 120, St George, UT 84790-5844 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396342713 Katrina Poulsen Student in an Organized Health Care Education/Training Program 617 East Rriverside Dr, Ste 301, St. George, UT 84790 2020-10-08
1124643226 Desert View Eyecare Optometrist 15 South River Road St. 150, St. George, UT 84790 2020-06-15
1366066417 Benjamin Todd Lloyd Dentist 1683 E. Wolf Hole Dr, St. George, UT 84790 2020-06-04
1801434584 Jennifer M Putnam Marriage & Family Therapist 321 North Mall Drive, Vw103, St. George, UT 84790 2019-12-12
1326683012 Red Mountain Counseling and Education Counselor 321 No Mall Dr, Vw 103, St. George, UT 84790 2019-11-17
1295376002 Karynne Kimberly Simpson Behavior Technician 280 N 1680 E U1, St. George, UT 84790 2019-10-02
1962053017 Mikala Larsen Nurse Practitioner 1380 S Medical Center Dr., Saint George, UT 84790 2019-09-20
1326690678 Joe Ballent Student in an Organized Health Care Education/Training Program 1526 S Medical Center Dr Ste 224a, St George, UT 84790 2019-07-16
1558923854 David Pace Optometrist 749 South River Rd, St. George, UT 84790 2019-07-08
1639734924 Mariah Ann Mertlich Behavioral Analyst 280 N 1680 E, U1, St. George, UT 84790 2019-05-02
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710203047 Bryt Christensen Physical Medicine & Rehabilitation 652 S Medical Center Dr Ste 110, St George, UT 84790-7077 2010-04-12
1700820941 Physical Medicine LLC Physical Medicine & Rehabilitation 1424 E Foremaster Dr # 120, St George, UT 84790 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194144329 Austin Lebron Albright Physical Medicine & Rehabilitation 6360 S 3000 E Ste 200, Salt Lake City, UT 84121-6925 2014-04-15
1255691986 Gregory Lyman Condie Physical Medicine & Rehabilitation 3838 S 700 E # 300, Slc, UT 84106-1466 2012-05-29
1104060714 Comprehensive Medical Management, PC Physical Medicine & Rehabilitation 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 2009-04-27
1407026420 Qamar Khan Physical Medicine & Rehabilitation 661 W 10600 S, South Jordan, UT 84095-8524 2008-03-05
1942492079 Edgar Clinton Goldston Jr. Physical Medicine & Rehabilitation 175 North Medical Drive East, Salt Lake City, UT 84132-2303 2007-08-13
1871799528 Cole W Robinson Physical Medicine & Rehabilitation 860 N Main St Ste B, Richfield, UT 84701-1840 2007-06-21
1285673434 David James Peifer Physical Medicine & Rehabilitation George E. Wahlen Veterans Administration Medical C, 500 Foothill Dr, Salt Lake City, UT 84148-0001 2006-06-05
1225036064 Brian K Olenslager Physical Medicine & Rehabilitation 3585 N University Ave, Ste 150, Provo, UT 84604-6601 2005-07-13
1861490278 Corey D Anden Physical Medicine & Rehabilitation 4403 Harrison Blvd Ste 1875, Ogden, UT 84403-3325 2005-07-09
1699148197 Ihc Health Services Inc Physical Medicine & Rehabilitation 412 W 800 N, Orem, UT 84057-3728 2015-11-05
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Competitor

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City ST GEORGE
Zip Code 84790

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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