Bradley J Waterman, MD in Salt Lake City, UT

Bradley J Waterman, MD is a medicare enrolled "Urology" physician in Salt Lake City, Utah. He went to University Of Utah School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is 24 S 1100 E Ste 105, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 965-3600.

Bradley J Waterman is licensed to practice in Utah (license number 6602968-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699718809.

Contact Information

	Bradley J Waterman, MD
	24 S 1100 E Ste 105, Salt Lake City, UT 84102-1593
	(801) 965-3600
	Not Available

Map and Direction

Physician's Profile

Full Name	Bradley J Waterman
Gender	Male
Speciality	Urology
Experience	22 Years
Location	24 S 1100 E Ste 105, Salt Lake City, 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.

Medical Education and Training:

Bradley J Waterman attended and graduated from University Of Utah School Of Medicine in 2002

NPI Data:

NPI Number: 1699718809
Provider Enumeration Date: 06/14/2006
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9436240298
Enrollment ID: I20070808000277

Medical Identifiers

Medical identifiers for Bradley J Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699718809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	46318 (Wisconsin)	Secondary
208800000X	Urology	6602968-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Intermountain Medical Center	Murray, UT	Hospital
Salt Lake Regional Medical Center	Salt lake city, UT	Hospital
St Mark's Hospital	Salt lake city, UT	Hospital
Jordan Valley Medical Center	West jordan, UT	Hospital
Alta View Hospital	Sandy, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Granger Medical Clinic Pc	3476465691	149
Granger Medical Specialists Llc	4587074356	155

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. Bradley J Waterman allows following entities to bill medicare on his behalf.

Entity Name	Granger Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159

Entity Name	Granger Medical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207

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 J Waterman 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
Bradley J Waterman, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600	Bradley J Waterman, MD 24 S 1100 E Ste 105, Salt Lake City, UT 84102-1593 Ph: (801) 965-3600

Reviews and Comments

Urology Doctors in Salt Lake City, UT

Dr. Stephen James Summers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891
Benjamin James Mccormick, Urology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2704 Fax: 801-585-2891
Leah Stoehr, APRN Urology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5555
John Evan Thomas, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891
Colton K. Leavitt, MD Urology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132 Phone: 801-213-2718
Michael W. Mangelson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001
Julia Faith Piwowarski, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Salt Lake City, UT 84132 Phone: 801-581-7304

Bradley J Waterman, MD - Medicare Urology in Salt Lake City, UT