Bradd K Christensen M.D.,P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

165695-1205 Issued in UT

Legal business name

BRADD K CHRISTENSEN M.D.,P.C.

Practice address

1377 E 3900 S
Ste 104
Salt Lake City, UT 84124-1476

Phone

(801) 272-4249

Fax

(801) 272-4262

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Bradd K Christensen, M.D.,P.C.

Title

President

Phone

(801) 272-4249

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1912182494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 E 3900 S",
            "address_2": "STE 104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241476",
            "telephone_number": "801-272-4249",
            "fax_number": "801-272-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 E 3900 S",
            "address_2": "STE 104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241476",
            "telephone_number": "801-272-4249",
            "fax_number": "801-272-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADD K CHRISTENSEN M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "BRADD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-272-4249",
        "authorized_official_credential": "M.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "UT",
            "license": "165695-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Lee Braathen
• Andres Bracamonte
• Brent Bracken
• Nicole Bracken
• Kristin Kay Bradbury-Kristensen, NP
• Benjamin Erik Bradford, APRN
• Grace Bradford
• Irene Louise Bradford
• Lacee Bradford
• Margaret Emma Bradford

• Medical Specialty Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.