MR. BRADLEY ORIN STEVENS


Address: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175
Phone: 8013144005

MR. BRADLEY ORIN STEVENS (NPI# 1396283248) 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) 1396283248
Entity Type Individual
Full Name MR. BRADLEY ORIN STEVENS
Credential PA-C
Practice Address 5848 S Fashion Blvd Ste 110
Salt Lake City
UT 84107-6175
Practice Telephone 8013144005
Practice Fax Number 8013144015
Mailing Telephone 8013144005
Mailing Fax Number 8013144015
Enumeration Date 2017-02-10
Last Update Date 2017-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
7731542-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRADLEY STEVENS

NPI Name Taxonomy Address Enumeration
1245538644 Bradley Mathew Stevens Physical Therapist 5247 William St, Lancaster, NY 14086-9673 2011-03-09
1396874137 Bradley Reed Stevens Social Worker Harbor Ucla Medical Center, 1000 W. Carson St, 2 South, Torrance, CA 90509-2004 2007-03-05
1508105305 Bradley Elliott Stevens Nurse Anesthetist, Certified Registered 415 N Center St, Suite 201, Hickory, NC 28601-5057 2013-02-14
1063589588 Bradley C Stevens Nurse Anesthetist, Certified Registered 725 North St, Pittsfield, MA 01201-4109 2006-11-29
1205899721 Bradley Stevens Physician Assistant 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 2006-04-07

Office Location

Street Address 5848 S FASHION BLVD STE 110
City SALT LAKE CITY
State UT
Zip Code 84107-6175

Providers in the same location

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
1629516166 Trevor Scott Butler Physician Assistant 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 2017-02-04
1265861892 Bradley Charles Burton Physician Assistant 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 2013-11-04
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

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SALT LAKE CITY
Zip Code 84107

Improve Information

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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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