BRADLEY CHARLES BURTON (NPI# 1265861892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265861892 |
| Entity Type | Individual |
| Full Name | BRADLEY CHARLES BURTON |
| Credential | P.A. |
| Practice Address |
5848 S Fashion Blvd Ste 110 Salt Lake City UT 84107-6121 |
| Mailing Address |
1055 N 300 W Ste 316 Provo UT 84604-3373 |
| Practice Telephone | 8013144188 |
| Practice Fax Number | 8013144015 |
| Mailing Telephone | 8013577530 |
| Mailing Fax Number | 8013577566 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
8813502-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698426 | Bradley Burton | Nurse Practitioner | 50 F St Nw, Washington, DC 20001-1530 | 2013-10-31 |
| 1972846848 | Bradley Burton | Pharmacist | 600 N Wolfe St, Carnegie 180, Baltimore, MD 21287-6180 | 2013-03-29 |
| 1750553616 | Bradley Jack Burton | Physical Therapist | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2008-03-31 |
| 1093818239 | Bradley Mark Burton | Family Medicine | 2006 Birdie Thompson Drive, Pocatello, ID 83201 | 2006-09-06 |
| Street Address |
5848 S FASHION BLVD STE 110 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382050 | Samuel Stephen Richards | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-12-21 |
| 1396283248 | Bradley Orin Stevens | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-02-10 |
| 1629516166 | Trevor Scott Butler | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-02-04 |
| 1629210372 | Sidney Lincoln Baucom | Orthopaedic Surgery | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2009-03-26 |
| 1811095326 | Patrick R Olson | Orthopaedic Surgery | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2006-09-20 |
| 1003823808 | Jared C Dunn | Emergency Medicine | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104284124 | Amanda Cummings | Physician Assistant | 30 N 1900 E # 3b110, Salt Lake City, UT 84132-0002 | 2016-02-04 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1861895344 | Ariel Black | Physician Assistant | 30 N 1900 E # 3c344, Salt Lake City, UT 84132-0002 | 2014-09-29 |
| 1912130311 | Andrew M Strong | Physician Assistant | 5323 Woodrow St Ste 202, Salt Lake City, UT 84107-5848 | 2009-09-01 |
| 1104005503 | Michael A. Pond | Physician Assistant | Fairfax Rd At Virginia St, Salt Lake City, UT 84103-4399 | 2007-11-01 |
| 1760575518 | Bruce Warelo Sperry | Physician Assistant | 500 Foothill Blvd # 112, Salt Lake City, UT 84148-0001 | 2006-10-02 |
| 1801448378 | Meghan Deyoung | Physician Assistant | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2019-07-15 |
| 1386119279 | Westley Hunsaker | Physician Assistant | 375 S Chipeta Way, Salt Lake City, UT 84108-1260 | 2018-10-08 |
| 1891277950 | Brittany Marie Cross | Physician Assistant | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2018-09-05 |
| 1609382050 | Samuel Stephen Richards | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-12-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on BRADLEY CHARLES BURTON.
| 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.