Individual provider Active NPI

Bradley Lynn Edgington, PHD

  • Psychologist
  • Orem, UT
National Provider Identifier
1073545463
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
86-1137332501 Issued in UT
Practice address
363 E 1200 S
Suite 201
Orem, UT 84058-6904
Phone
(801) 224-2313
Fax
(801) 224-4475
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 86-1137332501 UT Primary

Addresses

Primary practice location

363 E 1200 S
Suite 201
Orem, UT 84058-6904

Mailing address

363 E 1200 S
Suite 201
Orem, UT 84058-6904
Phone (801) 224-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000077 UT Practitioner - Clinical Psychologist 3476546516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Behavioral Psychology LLCGroup PAC ID 1355436791, 9 clinicians

Practice addresses (Care Compare)

363 E 1200
Suite 201
Orem, UT 84058-6904
Phone (801) 224-2313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
86-1137332501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Behavioral Psychology, LLC Psychologist CurrentSince Sep 1, 2007 Accepting new patients

Locations

363 E 1200 S
Ste 201
Orem, UT 84058
Phone (801) 224-2313

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

958 N 200 E
Spanish Fork, UT 84660
Phone (801) 224-2313

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1073545463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 E 1200 S",
            "address_2": "SUITE 201",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586904",
            "telephone_number": "801-224-2313",
            "fax_number": "801-224-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 E 1200 S",
            "address_2": "SUITE 201",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586904",
            "telephone_number": "801-224-2313",
            "fax_number": "801-224-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGINGTON",
        "first_name": "BRADLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "86-1137332501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.