Kirsten Davies Bradley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13564207-1206 Issued in UT

Practice address

1365 W 1000 N
Salt Lake City, UT 84116-1654

Phone

(801) 328-5750

Fax

(877) 497-4661

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirsten.bradley@chcsl.eclinicaldirectplus.com
• Direct secure messaging: kirsten.bradley.1@13794.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

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.

• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Valley City, UT
  • NPI 1952505117

  Physician Assistant, UT

  Medicare reassignment Care Compare group NPD
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Midvale, UT
  • NPI 1073611364

  Physician Assistant

  Care Compare group NPD
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salt Lake City, UT
  • NPI 1255757670
  Care Compare group NPD
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salt Lake City, UT
  • NPI 1316421761
  Care Compare group
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Valley City, UT
  • NPI 1326417445
  Care Compare group
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tremonton, UT
  • NPI 1477979896
  Care Compare group
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salt Lake City, UT
  • NPI 1538267828
  Care Compare group
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Taylorsville, UT
  • NPI 1801992953
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1508449505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W 2200 S STE 300",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841197219",
            "telephone_number": "801-412-6920",
            "fax_number": "877-497-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W 1000 N",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161654",
            "telephone_number": "801-328-5750",
            "fax_number": "877-497-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KIRSTEN",
        "middle_name": "DAVIES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13564207-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Bradish, LCSW
• Benjamin T. Bradley, M.D., PH.D.
• Callie Bradley, APRN
• Jessica Bradley
• Joshua David Bradley, M.D.
• Laine Bradley, PA-S
• Madison Ashlee Bradley, PHYSICIAN ASSISTANT
• Rachel Forbes Bradley, PT, DPT, OCS
• Rulon Ralph Bradley, M.D.
• Russell Bradley, MD

• All providers in Salt Lake City, UT
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.