RANDALL J BREADY


Address: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065
Phone: 8012854000

RANDALL J BREADY (NPI# 1518079987) 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) 1518079987
Entity Type Individual
Full Name RANDALL J BREADY
Credential MD
Practice Address 3741 W 12600 S
Riverton Hospital
Riverton
UT 84065
Mailing Address 3340 North Center St #800
Lehi
UT 84043-7406
Practice Telephone 8012854000
Practice Fax Number 8017335618
Mailing Telephone 8019901911
Mailing Fax Number 8019901912
Enumeration Date 2006-08-31
Last Update Date 2012-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology 261323-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 806744000 05
UT MOLINA PRA04262 01
UT HEALTHY U 99457 01
UT IHC 107007689102 01
UT UNITED HEALTHCARE 2090168 01
UT PEHP 73550 01
AZ 825747 05
UT ALTIUS QM0000075886 01
UT UMWA 1502954 01
UT EDUCATORS MUTUAL 870545614BR2 01
UT DESERET MUTUAL 305405 01
NV 100501895 05
WY 118951400 05

Office Location

Street Address 3741 W 12600 S
RIVERTON HOSPITAL
City RIVERTON
State UT
Zip Code 84065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982647145 Daniel Louis Chadwell Audiologist 3741 W 12600 S, Intermountain Riverton Hospital, Riverton, UT 84065-7215 2006-06-14
1023619533 Carson Chandler Physical Therapist 3741 W 12600 S, Riverton, UT 84065-7215 2020-11-03
1245885664 Jessica Marie Roestenburg Occupational Therapist 3741 W 12600 S, Riverton, UT 84065 2019-08-02
1366902306 Megan Nalder Speech-Language Pathologist 3741 W 12600 S, Riverton, UT 84065-7215 2019-03-25
1205367836 Jessica Posch Speech-Language Pathologist 3741 W 12600 S, Riverton, UT 84065-7215 2017-03-24
1013465921 Cambry Kaylor Occupational Therapist 3741 W 12600 S, Riverton, UT 84065-7215 2016-09-20
1952752008 Shelly Hardy Physical Therapist 3741 W 12600 S, Riverton, UT 84065-7215 2016-06-29
1114378288 Intermountain Healthcare Clinic/Center 3741 W 12600 S, Riverton, UT 84065-7215 2016-06-29
1508215807 Jordan Wood Physical Therapist 3741 W 12600 S, Riverton, UT 84065-7215 2016-06-07
1376907410 University of Utah Pediatric Acuity Care Pediatrics 3741 W 12600 S, Riverton, UT 84065-7215 2016-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659972248 William Lance Andersen Pharmacist 1202 W 12600 W, Riverton, UT 84065 2020-11-02
1275172678 Dentists of Riverton, LLP Dentist 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 2020-01-02
1194201467 Patrick Kunkel Dentist 12569 2700 W, #100, Riverton, UT 84065 2018-07-19
1790274546 Harmon City Inc Pharmacy 13330 South Kestrel Range Road, Riverton, UT 84065 2018-05-08
1386147767 Richard Hayes Johnston Counselor 3740 S Market Center Dr #1200, Riverton, UT 84065 2018-03-13
1023537156 Brenda Fuell Dental Hygienist 12959 South Picket Fence Lane, Riverton, UT 84065 2017-09-09
1407373426 Bethany Marie Breck Counselor 3740 S Market Center Drive, #1200, Riverton, UT 84065 2017-08-30
1952848509 Renaissance Ranch Bluffdale Women's Program Substance Abuse Rehabilitation Facility 2356 Thunderhead Way, Bluffdale, UT 84065 2017-01-20
1053856229 Bradford Scott Bentley Jr. Physical Therapist 3741 W 12600 S, Ste 100, Riverton, UT 84065 2016-12-27
1194273524 New Horizon Preferred Provider Organization 1420 W 12600 Sputh, Draper, UT 84065 2016-09-14
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710978499 William Michael Crosby Anesthesiology 2100 W Sunset Dr, Riverton, WY 82501-2274 2005-11-02
1134643604 Clinical Colleagues Inc Anesthesiology 2100 W Sunset Dr, Riverton, WY 82501-2274 2017-07-27
1053508564 Fremont Anesthesia Associate, Pllc Anesthesiology 2100 W Sunset Dr, Riverton, WY 82501-2274 2007-09-28
1619006582 W Michael Crosby M D P C Anesthesiology 2100 W Sunset Dr, Riverton, WY 82501-2274 2007-03-05
1932247012 Riverton Memorial Hospital LLC Anesthesiology 2100 W Sunset Dr, Riverton, WY 82501-2274 2007-02-02
1740375021 Bryan S Timmins Anesthesiology 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 2006-10-04
1073609517 Suzanne H Harrison Anesthesiology 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 2006-10-04
1326141508 Darren C Jacobsen Anesthesiology 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 2006-09-06
1083717276 Fae L Engstrom Anesthesiology 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 2006-09-06
1578666749 Steven Eric Johnson Anesthesiology 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 2006-09-06
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Competitor

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City RIVERTON
Zip Code 84065

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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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