Individual provider Active NPI

Bradley Budge, OD

  • Optometrist
  • Logan, UT
National Provider Identifier
1851708846
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9900923-9934 Issued in UT
Practice address
535 E 1400 N Ste 130
Logan, UT 84341
Phone
(435) 753-5280
Fax
(435) 752-5245
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9900923-9934 UT Primary

Addresses

Primary practice location

535 E 1400 N Ste 130
Logan, UT 84341

Mailing address

535 E 1400 N Ste 130
Logan, UT 84341-2457
Phone (435) 753-5280

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620001692 UT Practitioner - Optometry 4082072236 Practice locations: Logan, UT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

535 E 1400
Suite 130
Logan, UT 84341-2457
Phone (435) 753-5280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Budge Vision LLC Optometrist CurrentSince Mar 12, 2024 Accepting new patients

Locations

535 E 1400 N
Ste 130
Logan, UT 84341
Phone (435) 753-5280

Organizations & group practices 1

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1851708846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 1400 N STE 130",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412457",
            "telephone_number": "435-753-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 1400 N STE 130",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-753-5280",
            "fax_number": "435-752-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDGE",
        "first_name": "BRADLEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9900923-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.