Dr Brady Cade Blackham, DO | |
95 East Center Street, Gunnison, UT 84634 | |
(435) 528-7227 | |
(435) 528-2175 |
Full Name | Dr Brady Cade Blackham |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 95 East Center Street, Gunnison, 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 |
---|---|---|---|
1679701197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MR-1062 (Idaho) | Secondary |
207Q00000X | Family Medicine | 8334270-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gunnison Valley Hospital | Gunnison, UT | Hospital |
Sevier Valley Hospital | Richfield, UT | Hospital |
Mission At Community Living Rehabilitation Center | Centerfield, UT | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gunnison Valley Hospital | 3678487659 | 19 |
Central Utah Clinic Pc | 7517868508 | 386 |
Entity Name | Central Utah Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Entity Name | Gunnison Valley Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1952463036 PECOS PAC ID: 3678487659 Enrollment ID: O20091103000521 |
Mailing Address | Practice Location Address |
---|---|
Dr Brady Cade Blackham, DO 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3321 Ph: (801) 354-8225 | Dr Brady Cade Blackham, DO 95 East Center Street, Gunnison, UT 84634 Ph: (435) 528-7227 |
Cary John Judy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 E Center, Gunnison, UT 84634 Phone: 435-528-7227 Fax: 435-528-2175 | |
Gerald J Willden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 E 100 N, Gunnison, UT 84634 Phone: 435-528-2130 Fax: 435-528-7796 | |
Christine Jackson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 East 100 North, Gunnison, UT 84634 Phone: 435-528-2130 Fax: 435-528-2197 | |
Kayla Olson, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 65 East 100 North, Gunnison, UT 84634 Phone: 435-528-2222 | |
Dr. Scott Joseph Walker, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 E. 100 N., Gunnison, UT 84634 Phone: 435-528-2130 | |
Adam Michael Jensen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 E 100 N, Gunnison, UT 84634 Phone: 435-528-2130 Fax: 435-528-2186 |