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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
328393-1204 | UT | Allopathic & Osteopathic Physicians |
Street Address |
1424 E FOREMASTER DR STE 120 |
City | ST GEORGE |
State | UT |
Zip Code | 84790-5844 |
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 |
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 |
Find all providers in zip 84790 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.