BRADLEY KEEP


Address: 4610 W 9980 N, Cedar Hills, UT 84062-8728
Phone: 8016360674

BRADLEY KEEP (NPI# 1588176606) 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) 1588176606
Entity Type Individual
Full Name BRADLEY KEEP
Practice Address 4610 W 9980 N
Cedar Hills
UT 84062-8728
Practice Telephone 8016360674
Practice Fax Number 8016360674
Mailing Telephone 8016360674
Enumeration Date 2017-10-30
Last Update Date 2017-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
7667842-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4610 W 9980 N
City CEDAR HILLS
State UT
Zip Code 84062-8728

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1124676044 Marie R. Hurst Nurse Practitioner 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 2019-09-04
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1821565839 Clint Lee Martineau Nurse Practitioner 230 N 1680 E # 1, Saint George, UT 84790-2579 2018-10-28
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Competitor

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City CEDAR HILLS
Zip Code 84062

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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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