Benjamin T Bradley, MD, PHD in Salt Lake City, UT

Benjamin T Bradley, MD, PHD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Salt Lake City, Utah. His current practice location is 15 N Medical Dr Ste 1100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 583-2787.

Benjamin T Bradley is licensed to practice in Utah (license number 12093950-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912431941.

Contact Information

	Benjamin T Bradley, MD, PHD
	15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100
	(801) 583-2787
	Not Available

Map and Direction

Physician's Profile

Full Name	Benjamin T Bradley
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	15 N Medical Dr Ste 1100, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912431941
Provider Enumeration Date: 04/17/2017
Last Update Date: 04/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7810266301
Enrollment ID: I20220420000268

Medical Identifiers

Medical identifiers for Benjamin T Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912431941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	12093950-1205 (Utah)	Primary
207ZM0300X	Pathology - Medical Microbiology	12093950-1205 (Utah)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin T Bradley allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Benjamin T Bradley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin T Bradley, MD, PHD 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 Ph: (801) 583-2787	Benjamin T Bradley, MD, PHD 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 Ph: (801) 583-2787

Reviews and Comments

Pathology Doctors in Salt Lake City, UT

Yahya Daneshbod, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-2121
Robert E. Rogers, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121
Dr. Melissa Hankins Cessna, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue & C Street, Salt Lake City, UT 84143 Phone: 801-408-1784 Fax: 801-408-5196
Kajsa Elizabeth Affolter, Pathology Medicare: Accepting Medicare Assignments Practice Location: University Of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132 Phone: 801-581-2507
David R. Anderson, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121
Peter E. Jensen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2507
Dr. Angelica Rocio Putnam, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Primay Children's Medical Center Dept Of Pathology, Salt Lake City, UT 84113 Phone: 801-662-2150 Fax: 801-662-2165

Benjamin T Bradley, MD, PHD - Medicare Pathology in Salt Lake City, UT