Individual provider Active NPI

Brad Hyatt, MD

  • Orthopaedic Hand Surgery Physician
  • Provo, UT
National Provider Identifier
1831497684
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
27063 Issued in NE
Practice address
1157 N 300 W Ste 201
Provo, UT 84604-6124
Phone
(801) 357-1200
Fax
(801) 357-1239
NPI assigned
Mar 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 27063 NE
Orthopaedic Hand Surgery Physician 207XS0106X 6462816-1205 UT
Orthopaedic Hand Surgery Physician 207XS0106X 27063 NE Primary

Addresses

Primary practice location

1157 N 300 W Ste 201
Provo, UT 84604-6124

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 257-9416

Other practice location 2

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 347-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210113000879 OH Practitioner - Orthopedic Surgery 1557504511 Reassigns benefits to 2 organizations
I20230306000325 UT Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 1557504511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Rochester School of Medicine and Dentistry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1157 N 300
Suite 201
Provo, UT 84604-6124
Phone (801) 357-1200

Hospital & facility affiliations

  • Intermountain Health Spanish Fork Hospital Hospital, Spanish Fork, UT, CCN 460062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Wilmington Physicians Group LLC CurrentSince Nov 23, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 23, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 23, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1157 N 300 W
Ste 201
Provo, UT 84604
Phone (801) 357-1200

819 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-6600

Interoperability endpoints

  • Direct secure messaging: brhyatt@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1831497684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 N 300 W STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046124",
            "telephone_number": "801-357-1200",
            "fax_number": "801-357-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Wright Patterson AFB",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-9416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452304346",
            "country_code": "US",
            "telephone_number": "513-347-9999",
            "fax_number": "513-232-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYATT",
        "first_name": "BRAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "27063",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "UT",
            "license": "6462816-1205",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NE",
            "license": "27063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.