Bradley Henriksen, MD | |
1735 N State St, Provo, UT 84604-1010 | |
(801) 374-1818 | |
Not Available |
Full Name | Bradley Henriksen |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 9 Years |
Location | 1735 N State St, Provo, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467838094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 11598920-1205 (Utah) | Primary |
207W00000X | Ophthalmology | MD193060 (Oregon) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Utah Eye Associates | 3577464908 | 16 |
Entity Name | Central Utah Eye Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992722888 PECOS PAC ID: 3577464908 Enrollment ID: O20040117000232 |
Mailing Address | Practice Location Address |
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Bradley Henriksen, MD 1735 N State St, Provo, UT 84604-1010 Ph: (801) 374-1818 | Bradley Henriksen, MD 1735 N State St, Provo, UT 84604-1010 Ph: (801) 374-1818 |
Jonathan B Gunther, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-379-2904 Fax: 801-379-2959 | |
Thomas Dyreng Myers, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, Suite 220, Provo, UT 84604 Phone: 801-224-3565 Fax: 801-224-3567 | |
Dr. Matthew Reed Parsons, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-374-1818 Fax: 801-379-2959 | |
Dr. James G Theurer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-374-1818 Fax: 801-379-2959 | |
Norman Kent Linton, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-374-1818 Fax: 801-374-0163 | |
Dr. Michael J Lloyd, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 204, Provo, UT 84604 Phone: 801-357-7373 Fax: 801-357-7217 | |
Dr. Jack Dunyon Stringham Ii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 500, Provo, UT 84604 Phone: 801-357-7704 |