Russell Bradley, MD in Salt Lake City, UT - Medicare Emergency Medicine

Russell Bradley, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. His current practice location is 1050 E South Temple, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 350-4111.

Russell Bradley is licensed to practice in Utah (license number 360067-1205) 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 1376502013.

Contact Information

	Russell Bradley, MD
	1050 E South Temple, Salt Lake City, UT 84102-1507
	(801) 350-4111
	Not Available

Map and Direction

Physician's Profile

Full Name	Russell Bradley
Gender	Male
Speciality	Emergency Medicine
Location	1050 E South Temple, 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: 1376502013
Provider Enumeration Date: 03/21/2006
Last Update Date: 04/21/2010

Medicare PECOS Information:

PECOS PAC ID: 9335199009
Enrollment ID: I20050131000400

Medical Identifiers

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

Identifier	Type	State	Issuer
1376502013	NPI	-	NPPES
D2647	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	360067-1205 (Utah)	Secondary
207P00000X	Emergency Medicine	360067-1205 (Utah)	Primary

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. Russell Bradley allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

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. Russell 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
Russell Bradley, MD 144 S 500 E, 2nd Floor, Salt Lake City, UT 84102-1907 Ph: () -	Russell Bradley, MD 1050 E South Temple, Salt Lake City, UT 84102-1507 Ph: (801) 350-4111

Reviews and Comments

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Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Russell Bradley, MD - Medicare Emergency Medicine in Salt Lake City, UT