Russell D Bradford, MD in Provo, UT

Russell D Bradford, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 491-6482.

Russell D Bradford is licensed to practice in Alabama (license number 23648) 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 1316093446.

Contact Information

	Russell D Bradford, MD
	1034 N 500 W, Provo, UT 84604-3380
	(801) 491-6482
	Not Available

Map and Direction

Physician's Profile

Full Name	Russell D Bradford
Gender	Male
Speciality	Pediatrics - Pediatric Infectious Diseases
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316093446
Provider Enumeration Date: 01/25/2007
Last Update Date: 06/08/2012

Medicare PECOS Information:

PECOS PAC ID: 8628151172
Enrollment ID: I20150608002737

Medical Identifiers

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

Identifier	Type	State	Issuer
1316093446	NPI	-	NPPES
009919575	Medicaid	AL
009912727	Medicaid	AL
009919585	Medicaid	AL
051545309	Other	AL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0208X	Pediatrics - Pediatric Infectious Diseases	23648 (Alabama)	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 D Bradford allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 D Bradford 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 D Bradford, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 491-6482	Russell D Bradford, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 491-6482

Reviews and Comments

Pediatrics Doctors in Provo, UT

Dr. Renae Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 E Center St, Utah State Hospital, Provo, UT 84606 Phone: 801-344-4311 Fax: 801-344-4225
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000
Jordan Gaudio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-1700
Danielle Elise Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411
Dr. Chuanchau Jerry Jou, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604 Phone: 385-477-6800 Fax: 385-477-6801
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811

Russell D Bradford, MD - Medicare Pediatrics in Provo, UT