Bradley K Lewis, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

94-277413-1205 Issued in UT

Practice address

1126 Draper Pkwy
Draper, UT 84020-9095

Phone

(801) 545-0600

Fax

(801) 545-0626

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1871609222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 DRAPER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209095",
            "telephone_number": "801-545-0600",
            "fax_number": "801-545-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 DRAPER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209095",
            "telephone_number": "801-545-0600",
            "fax_number": "801-545-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRADLEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "94-277413-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870639098001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Leslie, MFT INTERN
• Michelle Lester
• Carl Gordon Lesueur II, D.C.
• Levo LLC
• Roxanne Lewallen, RN
• Brian Glenn Lewis, CMHC
• Canyon Lewis
• Jason Richard Lewis, D.D.S.
• McKay Arthur Lewis, DDS
• Qing Li

• Emergency Medicine Physician in Draper, UT
• Providers in Draper, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.