Dr Bradley A Dreifuss, MD | |
30 North 1900 East 1c026, University Of Utah Division Of Emergency Medicine, Salt Lake City, UT 84132 | |
(503) 502-0775 | |
Not Available |
Full Name | Dr Bradley A Dreifuss |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 30 North 1900 East 1c026, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487852281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 76839741205 (Utah) | Primary |
207P00000X | Emergency Medicine | 8555A (Wyoming) | Secondary |
207P00000X | Emergency Medicine | TP827 (Kentucky) | Secondary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
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Dr Bradley A Dreifuss, MD 30 North 1900 East 1c026, University Of Utah Division Of Emergency Medicine, Salt Lake City, UT 84132 Ph: (503) 502-0775 | Dr Bradley A Dreifuss, MD 30 North 1900 East 1c026, University Of Utah Division Of Emergency Medicine, Salt Lake City, UT 84132 Ph: (503) 502-0775 |
Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417 | |
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951 | |
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015 | |
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111 | |
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111 |