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Contact Information

JIM BRADWAY MD PC
630 MEDICAL DR
BOUNTIFUL, UT84010-4908
 Phone: 801-292-6231
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JIM BRADWAY MD PC

NPI Number 1639475171
LBN Legal business name JIM BRADWAY MD PC
Authorized official JIM BRADWAY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2011
Last updated 02/01/2011 - About 15 years ago
Identifiers
UT License # 1654201205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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