Individual provider Active NPI

Chad Michael Duford, PA-C

  • Medical Physician Assistant
  • Draper, UT
National Provider Identifier
1124461926
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8242616-1206 Issued in UT
Practice address
14425 S Bitterbrush LN
Draper, UT 84020-9501
Phone
(801) 576-7292
NPI assigned
Apr 10, 2013
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8242616-1206 UT Primary

Addresses

Primary practice location

14425 S Bitterbrush LN
Draper, UT 84020-9501

Mailing address

14425 S Bitterbrush LN
Draper, UT 84020-9501

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911000598 UT Practitioner - Physician Assistant 7416264262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

226 N 1100
American Fork, UT 84003-2054
Phone (801) 855-3841

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

707 E Mill Rd
Suite 303
Vineyard, UT 84059-5730
Phone (801) 224-1300

830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Aug 9, 2015 Accepting new patients
Premier Family Medical - City Center CurrentSince Oct 20, 2018 Accepting new patients
Premier Family Medical - American Fork CurrentSince Oct 20, 2018 Accepting new patients
William Preston MD, Inc Past Accepting new patients
Premier Family Medical Past Accepting new patients
State of Utah, Department of Health Past Accepting new patients
State of Utah Past Accepting new patients

Locations

226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

275 W 200 N
Ste 204
Lindon, UT 84042
Phone (801) 769-2565

155 N 400 W
Ste B6
Orem, UT 84057
Phone (801) 224-1300

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Interoperability endpoints

  • Direct secure messaging: cduford@pfm.gwaydirect.com

Organizations & group practices 8

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1124461926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 S BITTERBRUSH LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 S BITTERBRUSH LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209501",
            "telephone_number": "801-576-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFORD",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "8242616-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.