Individual provider Active NPI

Matthew Eugene Bradbury, D.O.

  • Psychiatry Physician
  • St George, UT
National Provider Identifier
1407234792
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5715943-1204 Issued in UT
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

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address mbradbury63041@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170119002540 TX Practitioner - Psychiatry 9739469206 Reassigns benefits to 3 organizations
I20200611001162 UT Practitioner - Psychiatry 9739469206 Reassigns benefits to 2 organizations

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
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

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 Hospital, St George, UT, CCN 460021
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5715943-1204UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Behavioral Healthcare Hospital Inc Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Rock Springs Physician Group LLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2020 Accepting new patients
Temple Behavioral Healthcare Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients
Mindcare Solutions PC Psychiatry CurrentSince Sep 24, 2025 Accepting new patients
Ihc Health Services, Inc. Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Mindcare Solutions of Texas PA Psychiatry CurrentSince May 5, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.