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BRADLEY DAVID TUCKETT PA-C
NPI 1790308260
Physician Assistant in Elk Ridge, UT

Active since May 19, 2020
245 E HUDSON DR, ELK RIDGE, UT 84651(801) 669-4297 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 6, 2022, May 19, 2020 (2 updates tracked since 2020).

About Bradley David Tuckett Pa-c NPPES

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

BRADLEY DAVID TUCKETT PA-C (NPI 1790308260) is an individual physician assistant in Elk Ridge, Utah, licensed in Utah (8818148-1206) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1790308260
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRADLEY DAVID TUCKETTCredential: PA-C
Location Address245 E HUDSON DRElk Ridge, UT 84651-9506
Mailing Address4403 Harrison Blvd Ste 4400Ogden, UT 84403-3290 · (801) 387-4550 · Fax (801) 387-4565
Phone(801) 669-4297
Sole ProprietorYes
Enumeration DateMay 19, 2020
Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1790308260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 8818148-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
245 E HUDSON DR, Elk Ridge, UT 84651
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

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 Bradley Tuckett's NPI number?

The NPI number for Bradley Tuckett is 1790308260. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Bradley Tuckett located?

Bradley Tuckett practices at 245 E Hudson Dr, Elk Ridge, UT 84651. The listed phone number is (801) 669-4297.

What is Bradley Tuckett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Bradley Tuckett accept?

Health plans from Select Health list Bradley Tuckett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Tuckett was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.