BRADLEY D WORKMAN (NPI# 1881764835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881764835 |
| Entity Type | Individual |
| Full Name | BRADLEY D WORKMAN |
| Credential | APRN |
| Practice Address |
3802 S 700 E Salt Lake City UT 84106 |
| Mailing Address |
3802 S 700 E Salt Lake City UT 84106-1182 |
| Practice Telephone | 8012646000 |
| Mailing Telephone | 8012646000 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
191639-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2900 S State St Ste 101, Salt Lake City, UT 841153891 | 8019835540 | 8019835542 |
| 3195 S Main St Ste 180, Salt Lake City, UT 841153790 | 8019835540 | 8019835542 |
| Street Address |
3802 S 700 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376577049 | Sean Anthony Ponce | Family Medicine | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2006-07-10 |
| 1851880751 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2018-05-07 |
| 1487177382 | Tom Cooper | Nurse Practitioner | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2017-07-23 |
| 1689037566 | Salt Lake Behavioral Health, LLC | Family Medicine | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2016-03-30 |
| 1194129981 | Eric Benson | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-10-22 |
| 1265842579 | Elyse Coolidge Huey | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-05-08 |
| 1811317373 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-04-23 |
| 1013335827 | Daniel Inouye | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-03-31 |
| 1053666883 | Salt Lake Behavioral Health | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536737 | Bradley Martin | Nurse Practitioner | 31 M St Apt 110, Salt Lake City, UT 84103-3846 | 2020-07-29 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1720433196 | Lillian Farris | Nurse Practitioner | 2180 E 4500 S Ste 125, Salt Lake City, UT 84117-4021 | 2016-05-04 |
| 1164816922 | Brittany Talbot | Nurse Practitioner | Salt Lake City Vamc, 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2015-03-19 |
| 1376959023 | Charleen Angell Aprn, Pllc | Nurse Practitioner | 145 S 400 E, Salt Lake City, UT 84111-2104 | 2014-07-02 |
| 1619390218 | Darin Ashton Principe | Nurse Practitioner | 159 W Broadway Ste 200, Salt Lake City, UT 84101-1923 | 2014-02-03 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1124237011 | Maria Christina Paegle | Nurse Practitioner | 4659 Brookwood Dr, Salt Lake City, UT 84117-4909 | 2007-05-21 |
| 1558430389 | Grace Forsythe Phd Inc | Nurse Practitioner | 2046 Murray Holladay Rd, 103, Salt Lake City, UT 84117-5125 | 2006-11-07 |
| 1639279466 | Joann M Rolando | Nurse Practitioner | George E Wahlen Department of Veterans Affairs, Medical Center Va, Salt Lake City, UT 84148-0001 | 2006-09-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
Please comment or provide details below to improve the information on BRADLEY D WORKMAN.
| 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.