Active NPI
Matthew Eugene Bradbury, D.O.
- Psychiatry Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5715943-1204
- Practice address
- 292 S 1470 E FL 3
St George, UT 84790-1763 - Phone
- (435) 251-5900
- NPI assigned
- May 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5715943-1204 | UT | Primary |
Addresses
Primary practice location
292 S 1470 E FL 3
St George, UT 84790-1763
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 251-5900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbradbury63041@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
Suite 2200
St George, UT 84790-2130
Phone (435) 251-2600
Hospital & facility affiliations
- St. George Regional Hospital
- Ogden Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5715943-1204 | UT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Behavioral Healthcare Hospital Inc | Psychiatry | Current | Accepting new patients |
| Rock Springs Physician Group LLC | Psychiatry | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Temple Behavioral Healthcare Hospital Inc | Current | Accepting new patients | |
| Mindcare Solutions PC | Psychiatry | Current | Accepting new patients |
| Ihc Health Services, Inc. | Psychiatry | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Mindcare Solutions of Texas PA | Psychiatry | Current | Accepting new patients |
| Ihc Health Services, Inc. | Past | Accepting new patients |
Locations
1335 E Whitestone Blvd
#200
Cedar Park, TX 78613
Phone (512) 819-9400
101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322
700 SE Inner Loop
Georgetown, TX 78626
Phone (512) 351-8769
2710 Sunset Strip
Ste C
Greenville, TX 75402
Phone (844) 291-4525
1303 N Main St
Ste 3C
Cedar City, UT 84721
Phone (435) 867-7433
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
292 S 1470 E
St George, UT 84790
Phone (435) 251-5900
1380 E Medical Center Dr
Ste 2200
St George, UT 84790
Phone (435) 251-1606
292 S 1470 E
Fl 3
St George, UT 84790
Phone (435) 251-5900
Interoperability endpoints
- mbradbury63041@direct.sw.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Psychiatry Physician
- Austin, TX
- NPI 1396290730
-
- Psychiatry Physician
- Georgetown, TX
- NPI 1205221397
-
- Psychiatry Physician
- Temple, TX
- NPI 1649909839
-
- Clinic/Center
- Logan, UT
- NPI 1033572193
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Psychiatric Hospital
- Temple, TX
- NPI 1427671064
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1407234792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "435-251-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 S 1470 E FL 3",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847901763",
"telephone_number": "435-251-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADBURY",
"first_name": "MATTHEW",
"middle_name": "EUGENE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-07",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "5715943-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbradbury63041@direct.sw.org",
"affiliation": "N",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765087802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.