Individual provider Active NPI

Bradley James Olsen, DNP

  • Family Nurse Practitioner
  • Saint George, UT
National Provider Identifier
1750927927
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5613376-4405 Issued in UT
Practice address
1630 E 2450 S Unit 95
Saint George, UT 84790-7060
Phone
(480) 528-0482
NPI assigned
Nov 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5613376-4405 UT Primary
Family Nurse Practitioner 363LF0000X 235004 AZ

Addresses

Primary practice location

1630 E 2450 S Unit 95
Saint George, UT 84790-7060

Mailing address

1630 E 2450 S Unit 95
Saint George, UT 84790-7060
Phone (480) 528-0482

Other practice location 1

1157 S Crismon Rd Ste 101
Mesa, AZ 85208-2661
Phone (480) 827-5730

Other practice location 2

2825 E Mall Drive
St. George, UT 84790
Phone (435) 673-6131

Other practice location 3

736 S 900 E Ste 203
St George, UT 84790-7003
Phone (435) 673-6131

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200724001218 UT Practitioner - Nurse Practitioner 5698109262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instamobile Care LLCGroup PAC ID 1951758663, 12 clinicians

Practice addresses (Care Compare)

406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 919-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Dec 14, 2020 Accepting new patients
Instamobile Care LLC CurrentSince Jun 16, 2025 Accepting new patients
Southern Utah Primary and Urgent Care Current Accepting new patients
Revere Health PC CurrentSince Dec 14, 2020 Accepting new patients

Locations

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

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

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131

736 S 900 E
Ste 203
St George, UT 84790
Phone (435) 673-6131

Organizations & group practices 4

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1750927927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E 2450 S UNIT 95",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907060",
            "telephone_number": "480-528-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E 2450 S UNIT 95",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907060",
            "telephone_number": "480-528-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 S Crismon Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852082661",
            "country_code": "US",
            "telephone_number": "480-827-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 E Mall Drive",
            "address_purpose": "LOCATION",
            "city": "St. George",
            "state": "UT",
            "postal_code": "84790",
            "country_code": "US",
            "telephone_number": "435-673-6131",
            "fax_number": "435-673-8557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 S 900 E Ste 203",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907003",
            "country_code": "US",
            "telephone_number": "435-673-6131",
            "fax_number": "435-673-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-22",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5613376-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "235004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.