MR. BRAD PACE (NPI# 1275530156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275530156 |
| Entity Type | Individual |
| Full Name | MR. BRAD PACE |
| Credential | PA-C |
| Practice Address |
2084 N 1700 W Suite A Layton UT 84041 |
| Mailing Address |
2086 N 1700 W Suite C Layton UT 84041 |
| Practice Telephone | 8017738644 |
| Practice Fax Number | 8017739828 |
| Mailing Telephone | 8017738644 |
| Mailing Fax Number | 8019271591 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 294686-1206 | UT | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
962946861206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2084 N 1700 W SUITE A |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477090108 | American Current Care Pa | Clinic/Center | 2084 N 1700 W, Suite D, Layton, UT 84041-1100 | 2017-01-19 |
| 1811432230 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 2084 N 1700 W, Suite D, Layton, UT 84041-1100 | 2016-12-20 |
| 1194106625 | Colton Lee Ragsdale | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2015-06-10 |
| 1821286923 | Emily Ostarcevic | Nurse Practitioner | 2084 N 1700 W, Suite A, Layton, UT 84041-1100 | 2007-10-15 |
| 1619160041 | Kirk Russell Overdiek | Nurse Practitioner | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2007-08-20 |
| 1902967219 | Roderick D Maxwell | Physician Assistant | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2006-12-12 |
| 1750346599 | Priscilla Aye Chen | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2006-04-17 |
| 1225098510 | Rocksan Moss | Physician Assistant | 2084 N 1700 W, Suite A, Layton, UT 84041-1100 | 2006-03-23 |
| 1043281918 | Robert J Anderson | Registered Nurse | 2084 N 1700 W, Layton, UT 84041-1100 | 2006-01-30 |
| 1164402202 | Jennifer M Gilsoul | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063430890 | Brad Rodney Larsen | Physician Assistant | 2950 N Church St, Ste 200, Layton, UT 84040-6504 | 2006-07-18 |
| 1871945618 | Shaun Mickelsen | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2016-07-05 |
| 1366819575 | Val Duane Warner | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2015-08-24 |
| 1417267956 | Kurt R Umbrell | Physician Assistant | 2132 N 1700 W, Suite 200, Layton, UT 84041-7057 | 2010-10-18 |
| 1902967219 | Roderick D Maxwell | Physician Assistant | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2006-12-12 |
| 1831175272 | Robert Bunnell | Physician Assistant | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2005-12-19 |
| 1295710960 | Ronald Scott Bingham | Physician Assistant | 1580 W Antelope Dr, Suite 100, Layton, UT 84041-1160 | 2005-12-14 |
| 1467440701 | Mont C Robins | Physician Assistant | 124 S Fairfield Rd, Layton, UT 84041-7105 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
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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.