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BRADLEY WEAVER MD/PHD
NPI 1891425484
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since June 15, 2022PECOS Enrolled
30 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 608-2723 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2025, Sep 4, 2023 (2 updates tracked since 2023).

About Bradley Weaver Md/phd NPPES

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

BRADLEY WEAVER MD/PHD (NPI 1891425484) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (14241132-1205) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891425484
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBRADLEY WEAVERCredential: MD/PHD
Location Address30 N MEDICAL DRSalt Lake City, UT 84132-3228
Mailing Address30 N Mario Capecchi Rm 2s100Salt Lake City, UT 84112 · (801) 581-7553
Phone(801) 608-2723
Sole ProprietorNo
Enumeration DateJune 15, 2022
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1891425484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 14241132-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30 N MEDICAL DR, Salt Lake City, UT 84132
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Weaver Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CHRISTINA E BOKAT MD
Anesthesiology
30 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (301) 641-4136
DR. LOWELL CHANG M.D.
Internal Medicine (Cardiovascular Disease)
30 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676

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 Weaver's NPI number?

The NPI number for Bradley Weaver is 1891425484. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Bradley Weaver located?

Bradley Weaver practices at 30 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 608-2723.

What is Bradley Weaver's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Bradley Weaver enrolled in Medicare?

Yes. Bradley Weaver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Weaver was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.