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TANNON BRADLEY OD
NPI 1972297109
Optometrist in Provo, UT

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
1355 N UNIVERSITY AVE STE 100, PROVO, UT 84604(801) 377-4333 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tannon Bradley Od NPPES

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

TANNON BRADLEY OD (NPI 1972297109) is an individual optometrist in Provo, Utah, licensed in Utah (13442708-9934) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972297109
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTANNON BRADLEYCredential: OD
Location Address1355 N UNIVERSITY AVE STE 100Provo, UT 84604-2721
Mailing Address1355 N University Ave Ste 100Provo, UT 84604-2721 · (801) 377-4333
Phone(801) 377-4333
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 8, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1972297109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 13442708-9934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1355 N UNIVERSITY AVE STE 100, Provo, UT 84604
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Secondary Practice Location 1

Location 1374 E 400 S Ste 1Springville, UT 84663-1975 · Phone (801) 489-5111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tannon Bradley Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688035868
PECOS Enrollment IDI20230803003579
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$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.

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 Tannon Bradley's NPI number?

The NPI number for Tannon Bradley is 1972297109. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Tannon Bradley located?

Tannon Bradley practices at 1355 N University Ave Ste 100, Provo, UT 84604. The listed phone number is (801) 377-4333.

What is Tannon Bradley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tannon Bradley enrolled in Medicare?

Yes. Tannon Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tannon Bradley accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Providence Health Plan and Select Health list Tannon Bradley 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 Tannon Bradley was last updated on June 8, 2023. 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.