Individual provider Active NPI

Brad Settle Huber, M.D.

  • Dermatology Physician
  • Lehi, UT
National Provider Identifier
1689757973
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7161158-1205 Issued in UT
Practice address
220 N 1200 E
Suite 203
Lehi, UT 84043-5862
Phone
(801) 418-0920
Fax
(801) 418-0921
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 49974 WI
Dermatology Physician 207N00000X 7161158-1205 UT Primary

Addresses

Primary practice location

220 N 1200 E
Suite 203
Lehi, UT 84043-5862

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other identifiers 1

IdentifierTypeStateIssuer
P00734831OtherWIRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Revere Health PC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000298 UT Practitioner - Dermatology 1254484397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Alabama School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

220 N 1200
Suite 203
Lehi, UT 84043-5864
Phone (801) 418-0920

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions893
Removal of nail tissue1-10
Removal or shaving of skin growth19
Skin biopsy157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Jan 25, 2012 Accepting new patients
Revere Health PC CurrentSince Jan 25, 2012 Accepting new patients

Locations

3943 E Pony Express Pkwy
Ste 1
Eagle Mountain, UT 84005

220 N 1200 E
Ste 203
Lehi, UT 84043
Phone (801) 418-0920

220 N 1200 E
Lehi, UT 84043
Phone (435) 868-8103

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 111
Provo, UT 84604
Phone (801) 374-8999

555 W State Road 164
Salem, UT 84653
Phone (801) 465-4896

1022 N Redwood Rd
Unit 102
Saratoga Springs, UT 84045

Interoperability endpoints

  • Direct secure messaging: bradhuber@cuccu.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1689757973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N 1200 E",
            "address_2": "SUITE 203",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435862",
            "telephone_number": "801-418-0920",
            "fax_number": "801-418-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "BRAD",
        "middle_name": "SETTLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "49974",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "7161158-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00734831",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "220 N 1200 E",
            "address_2": "Suite 203",
            "city": "Lehi",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840435862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.