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MR. BRADFORD GREENE PA
NPI 1295998508
Physician Assistant - Surgical in Salt Lake City, UT

Active since July 07, 2008
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Bradford Greene Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRADFORD GREENE PA (NPI 1295998508) is an individual surgical provider in Salt Lake City, Utah, licensed in Utah (322764-1206) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1295998508
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BRADFORD GREENECredential: PA
Location Address500 FOOTHILL BLVDSalt Lake City, UT 84148-0001
Mailing Address10479 Dimple Dell RdSandy, UT 84092-6521 · (801) 943-8966
Phone(801) 582-1565
Sole ProprietorYes
Enumeration DateJuly 7, 2008
✔ NPI 1295998508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 322764-1206
500 FOOTHILL BLVD, Salt Lake City, UT 84148
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLARD DERE M.D.
Internal Medicine
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. DAVID SCOTT ARCHIBALD PA
Physician Assistant (Medical)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
DR. MICHAEL REED SLATER D.D.S.
Dentist (General Practice)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 584-1206
DR. STEPHANIE A CARNEY MD
Internal Medicine
500 FOOTHILL BLVD, MAILCODE 110
SLC, UT 84148
Salt Lake County (801) 582-1565
MR. KEVIN B RAFF LCSW
Social Worker (Clinical)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
REBECCA HENKELS PHARMD
Pharmacist
500 FOOTHILL BLVD
SLC, UT 84148
Salt Lake County (801) 582-1565
DR. DELANEY DAWN GLAZIER DDS
Student in an Organized Health Care Education/Training Program
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 584-1206
MS. MAXINE JAN MILLER
Pharmacist
500 FOOTHILL BLVD
SLC, UT 84148
Salt Lake County (801) 582-4565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradford Greene's NPI number?

The NPI number for Bradford Greene is 1295998508. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Bradford Greene located?

Bradford Greene practices at 500 Foothill Blvd, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Bradford Greene's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Bradford Greene was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.