Individual provider Active NPI

Bradley Dayton, D.O.

  • Pediatrics Physician
  • Jber, AK
National Provider Identifier
1790126035
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
58.005155 Issued in OH
Practice address
5955 Zeamer Ave
Jber, AK 99506-3702
Phone
(907) 580-2908
NPI assigned
Jul 15, 2013
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 58.005155 OH Primary
Pediatric Cardiology Physician 2080P0202X 14210205-1204 UT

Addresses

Primary practice location

5955 Zeamer Ave
Jber, AK 99506-3702

Mailing address

19444 Ostovia Cir
Eagle River, AK 99577-8793

Other practice location 1

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone (801) 662-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdayton786122@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230912002642 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3173987948 Reassigns benefits to 2 organizations
I20240123002065 AK Practitioner - Pediatric Medicine 3173987948 Reassigns benefits to 1 organization
I20251025000535 MT Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3173987948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Eldorado Blvd
Suite 4300
Broomfield, CO 80021-3564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.005155OHMDPediatrics Physician
14210205-1204UTMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Aug 18, 2025 Accepting new patients
Southcentral Foundation CurrentSince Sep 1, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 1, 2023 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Aug 18, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Dec 10, 2023 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Southcentral Foundation Current Accepting new patients
St Vincent Healthcare Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

1232 N 30th St
Ste 200
Billings, MT 59101
Phone (406) 237-5300

1232 N 30th St
Ste 300
Billings, MT 59101
Phone (406) 237-5300

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Interoperability endpoints

  • Direct secure messaging: bdayton786122@direct.med.utah.edu

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1790126035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19444 OSTOVIA CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 N Mario Capecchi Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841131125",
            "country_code": "US",
            "telephone_number": "801-662-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "58.005155",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "UT",
            "license": "14210205-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdayton786122@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jber, AK

Sources for this page

Verify at the official NPI Registry.