Individual provider Active NPI

Braden Webb, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Magna, UT
National Provider Identifier
1245762061
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
12748447-1204 Issued in UT
Practice address
3665 S 8400 W Ste 200
Magna, UT 84044-4908
Phone
(801) 961-4010
Fax
(801) 961-4011
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 12748447-1204 UT Primary

Addresses

Primary practice location

3665 S 8400 W Ste 200
Magna, UT 84044-4908

Mailing address

3665 S 8400 W Ste 200
Magna, UT 84044-4908
Phone (801) 961-4010

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708000428 UT Practitioner - Pain Management 3678974979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain PLLCGroup PAC ID 4183966278, 9 clinicians

Practice addresses (Care Compare)

1209 N Main St
Suite B
Tooele, UT 84074-9841
Phone (801) 572-1186

3665 S 8400
Suite 200
Magna, UT 84044-4908
Phone (801) 961-4010

96 E Kimballs LN
Suite 408
Draper, UT 84020-5021
Phone (801) 572-1186

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deseret Rock Pain Specialists, LLC Pain Medicine CurrentSince Jan 29, 2026 Accepting new patients
Advanced Spine and Pain PLLC Pain Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

96 E Kimballs Ln
Ste 408
Draper, UT 84020
Phone (801) 572-1186

11760 S 700 E
Ste 112
Draper, UT 84020
Phone (801) 572-1186

3665 S 8400 W
Ste 200
Magna, UT 84044
Phone (385) 522-2906

1209 N Main St
#B
Tooele, UT 84074
Phone (801) 572-1186

576 E Highway 138
Ste 210
Tooele, UT 84074
Phone (435) 200-1208

Interoperability endpoints

  • Direct secure messaging: advancedspineandpain.bradenwebb@150329.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1245762061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W STE 200",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444908",
            "telephone_number": "801-961-4010",
            "fax_number": "801-961-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W STE 200",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444908",
            "telephone_number": "801-961-4010",
            "fax_number": "801-961-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BRADEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "12748447-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magna, UT

Sources for this page

Verify at the official NPI Registry.