Individual provider Active NPI

Bradley Charles Burton, PA-C

  • Surgical Physician Assistant
  • American Fork, UT
National Provider Identifier
1265861892
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
8813502-1206 Issued in UT
Practice address
1159 E 200 N Ste 300
American Fork, UT 84003-2037
Phone
(801) 965-3600
NPI assigned
Nov 4, 2013
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8813502-1206 UT
Surgical Physician Assistant 363AS0400X 8813502-1206 UT Primary

Addresses

Primary practice location

1159 E 200 N Ste 300
American Fork, UT 84003-2037

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600

Other practice location 1

5848 S Fashion Blvd Ste 110
Salt Lake City, UT 84107-6121
Phone (801) 314-4188

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
I20140308000171 UT Practitioner - Physician Assistant 8628208881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granger Medical Clinic PCGroup PAC ID 3476465691, 192 clinicians
Gunnison Valley HospitalGroup PAC ID 3678487659, 15 clinicians

Practice addresses (Care Compare)

1159 E 200
Suite 300
American Fork, UT 84003-2037
Phone (801) 756-7609

12391 S 4000
Riverton, UT 84096-7012
Phone (801) 302-1700

2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600

46 N Main St
Manti, UT 84642-1254
Phone (435) 835-7246

85 N 100
Gunnison, UT 84634-7720
Phone (435) 528-7202

95 N 100
Gunnison, UT 84634-7720
Phone (435) 528-7202

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital CurrentSince Jan 31, 2023 Accepting new patients
Granger Medical Clinic PC Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Granger Medical Specialists, LLC CurrentSince Nov 1, 2020 Accepting new patients
Granger Medical Clinic PC CurrentSince Aug 1, 2023 Accepting new patients
Gunnison Valley Hospital CurrentSince Jan 31, 2023 Accepting new patients
Granger Medical Clinic PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

1159 E 200 N
Ste 300
American Fork, UT 84003
Phone (801) 753-4712

3000 N Triumph Blvd
Ste 340
Lehi, UT 84043
Phone (435) 833-9180

46 N Main St
Manti, UT 84642
Phone (435) 835-6000

1055 N 300 W
Ste 316
Provo, UT 84604
Phone (801) 357-7530

12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700

995 W Levoy Dr
Taylorsville, UT 84123

3181 W 9000 S
West Jordan, UT 84088
Phone (801) 352-5900

7181 S Campus View Dr
West Jordan, UT 84084
Phone (801) 965-3505

7181 S Campus View Dr
Ste 200
West Jordan, UT 84084
Phone (801) 965-3505

2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505

3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545

Organizations & group practices 11

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 7

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1265861892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193602",
            "telephone_number": "801-965-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E 200 N STE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032037",
            "telephone_number": "801-965-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5848 S Fashion Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841076121",
            "country_code": "US",
            "telephone_number": "801-314-4188",
            "fax_number": "801-314-4015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "BRADLEY",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8813502-1206",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "UT",
            "license": "8813502-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.