Bradley Pedersen, is a
Social Worker - Clinical based in Salt Lake City, Utah. Bradley Pedersen is licensed to practice in * (Not Available) (license number ) and his current practice location is
340 E 100 S, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 322-3222.
NPI number for Bradley Pedersen is 1538477187 and his current mailing address is 11651 Mapleberry Ct, Draper, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538477187.
Healthcare Provider's Profile
| Full Name | Bradley Pedersen |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 340 E 100 S, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538477187
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 09/16/2010
Medical Identifiers
Medical identifiers for Bradley Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538477187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Pedersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bradley Pedersen,
11651 Mapleberry Ct,
Draper, UT 84020-6858
Ph: (801) 599-2405 | Bradley Pedersen,
340 E 100 S,
Salt Lake City, UT 84111-1702
Ph: (801) 322-3222 |
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