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BENJAMIN T. BRADLEY M.D., PH.D.
NPI 1912431941
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Active since April 17, 2017PECOS Enrolled
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 583-2787 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, May 26, 2021, Apr 17, 2017 (3 updates tracked since 2017).

About Benjamin T. Bradley M.d., Ph.d. NPPES

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

BENJAMIN T. BRADLEY M.D., PH.D. (NPI 1912431941) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (12093950-1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1912431941
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameBENJAMIN T. BRADLEYCredential: M.D., PH.D.
Location Address15 N MEDICAL DR STE 1100Salt Lake City, UT 84112-1100
Mailing Address15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 583-2787
Phone(801) 583-2787
Sole ProprietorNo
Enumeration DateApril 17, 2017
Last NPPES UpdateApril 14, 20223 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1912431941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in UT · 12093950-1205
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Medical MicrobiologyTaxonomy 207ZM0300X · License 12093950-1205 (UT)
15 N MEDICAL DR STE 1100, Salt Lake City, UT 84112
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Secondary Practice Location 1

Location 11959 NE Pacific StSeattle, WA 98195-0001 · Phone (206) 543-1140

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin T. Bradley M.d., Ph.d. 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 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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 20

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

YAHYA DANESHBOD MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JOHN M. DAINES MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
GANNA SHESTAKOVA M.D. PH.D.
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 583-2787
KASEY DONEY DO
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
KATE HELENA PARKINSON MD
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
ELIZABETH S. DOUGHTY MD, PHD
Pathology (Anatomic Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
LUKE ANTHONY VAN GORP MD
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390
ALEXANDER SCOTT LOKKEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4390

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 Benjamin Bradley's NPI number?

The NPI number for Benjamin Bradley is 1912431941. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Benjamin Bradley located?

Benjamin Bradley practices at 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112. The listed phone number is (801) 583-2787.

What is Benjamin Bradley's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Benjamin Bradley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Benjamin Bradley was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.