Active NPI
Bradley A Dreifuss, MD
- Emergency Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 76839741205
- Practice address
- 30 North 1900 East 1C026
University of Utah Division of Emergency Medicine
Salt Lake City, UT 84132 - Phone
- (503) 502-0775
- NPI assigned
- Jul 3, 2007
- Last updated
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 76839741205 | UT | Primary |
| Emergency Medicine Physician | 207P00000X | 8555A | WY | |
| Emergency Medicine Physician | 207P00000X | TP827 | KY |
Addresses
Primary practice location
30 North 1900 East 1C026
University of Utah Division of Emergency Medicine
Salt Lake City, UT 84132
Mailing address
30 North 1900 East 1C026
University of Utah Division of Emergency Medicine
Salt Lake City, UT 84132
Phone (503) 502-0775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76839741205 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Emergency Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| University of Utah Emergency Physicians | Past | Accepting new patients | |
| Pegasus Emergency Group Wyoming LLC | Emergency Medicine | Past | Accepting new patients |
| Northwest Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| University of Utah Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
1501 N Campbell Ave
#245575
Tucson, AZ 85724
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1487852281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NORTH 1900 EAST 1C026",
"address_2": "UNIVERSITY OF UTAH DIVISION OF EMERGENCY MEDICINE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84132",
"telephone_number": "503-502-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NORTH 1900 EAST 1C026",
"address_2": "UNIVERSITY OF UTAH DIVISION OF EMERGENCY MEDICINE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84132",
"telephone_number": "503-502-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREIFUSS",
"first_name": "BRADLEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "76839741205",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WY",
"license": "8555A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "TP827",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.