GEOFFREY L BRADEN


Address: 1350 N 500 E, Logan, UT 84341-2400
Phone: 4357161260

GEOFFREY L BRADEN (NPI# 1275597809) 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) 1275597809
Entity Type Individual
Full Name GEOFFREY L BRADEN
Credential M.D.
Practice Address 1350 N 500 E
Logan
UT 84341-2400
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 4357161260
Practice Fax Number 4357161275
Mailing Telephone 4357161275
Enumeration Date 2006-04-12
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
10439358-1205 UT Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD023624E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 000851110 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1350 N 500 E, Logan, UT 843412400 4357161260 4357161275
3998 Red Lion Rd Ste 240, Philadelphia, PA 191141441 2156323500 2156325008

Office Location

Street Address 1350 N 500 E
City LOGAN
State UT
Zip Code 84341-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295707677 Corey Wyn Walker Internal Medicine 1350 N 500 E, Logan, UT 84341-2400 2006-02-01
1790315281 Stacy Hepner Advanced Practice Midwife 1350 N 500 E, Logan, UT 84341-2400 2020-01-23
1083265029 Amanda E Stott Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2019-09-20
1093375727 Kristiana Hales Pharmacist 1350 N 500 E, Logan, UT 84341-2400 2019-06-14
1376033456 Deven Willardson Nurse Practitioner 1350 N 500 E, Logan, UT 84341-2400 2018-05-15
1154826618 Ihc Health Services Inc Clinic/Center 1350 N 500 E, Logan, UT 84341-2400 2018-03-27
1801303003 Becky Jean Rasmuson Nurse Practitioner 1350 N 500 E, Logan, UT 84341 2018-01-09
1558722900 Ihc Health Services Inc Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2016-03-14
1326420639 Brian Ralph Balls Physical Therapy Assistant 1350 N 500 E, Suite 120, Logan, UT 84341-2400 2015-06-23
1073994810 Benjamin Seale Physician Assistant 1350 N 500 E, Logan, UT 84341-2400 2015-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538701529 Aubrey Salmond Registered Nurse 500 East 1500 N, Logan, UT 84341 2019-10-11
1043702046 Eye Pros of Logan LLC Optometrist 1475 N Main St Ste 103, Logan, UT 84341 2018-06-05
1275050452 Rylie Jeanne Cook Student in an Organized Health Care Education/Training Program 11 Aggie Village Apt. J, Logan, UT 84341 2017-08-28
1093262156 Jessica Lynn Mcgarry Social Worker 1040 N 130 W, Apt 100, Logan, UT 84341 2016-09-07
1740663566 Paul R Gregory Occupational Therapy Assistant 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 2015-06-30
1851708846 Bradley Budge Optometrist 535 E 1400 N Ste 130, Logan, UT 84341 2014-07-22
1386058709 Daniel Raymond Carlson Physician Assistant 500 E. 1400 N., Logan, UT 84341 2014-06-13
1902220239 Work Injury Solutions Inc. Clinic/Center 630 E 1400 N Ste 140, Logan, UT 84341 2014-02-06
1750627287 Lee Martin Williams Sr. Counselor 186 E. 1800 N., North Logan, UT 84341 2013-01-03
1669747804 Ronald J Payne Internal Medicine 1726 North 1850 East, North Logan, UT 84341 2012-03-21
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760491054 Vikram Garg Internal Medicine 1300 N 500 E Ste 340, Logan, UT 84341-2470 2006-08-05
1255389342 Raymond Omar Rushden Internal Medicine 140 Stollings Ave Ste 2, Logan, WV 25601-4035 2006-05-04
1912023300 Ihc Health Services Inc Internal Medicine 1350 N 500 E, Logan, UT 84341-2400 2007-03-21
1306974670 Ihc Health Services Inc Internal Medicine 1350 N 500 E, Ste 340, Logan, UT 84341-2400 2007-03-01
1972561165 Bryan R. Larsen Internal Medicine 630 E 1400 N, Suite 100b, Logan, UT 84341-2534 2006-05-04
1134187263 Dirk R. Davis Internal Medicine 1350 N 500 E, Logan, UT 84341-2400 2006-05-01
1336105360 Verle Duane Bohman Internal Medicine 630 E 1400 N, Suite 100b, Logan, UT 84341-2534 2006-04-26
1629034855 Northern Utah Gastroenterology and Endoscopy Specialists LLC Internal Medicine 630 E 1400 N, Logan, UT 84341-2534 2006-04-25
1679538052 Ziad Salem Internal Medicine 20 Hospital Dr, Logan, WV 25601-3452 2006-04-19
1043270358 Stephen J Ferney Internal Medicine 1350 N 500 E, Logan, UT 84341-2400 2006-03-23
Find all providers in LOGAN

Competitor

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City LOGAN
Zip Code 84341

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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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