Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Brian R Bradshaw, MD
Dermatology Physician in Provo, UT · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1811955800
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Registry record
Entity type Individual (Type 1)
Name Brian R Bradshaw
Credential MD
Sex Male
Practice address 1055 N 500 W, Suite 111, Provo, UT, 84604
Phone (801) 374-8999
Fax (801) 429-8063
Enumeration date May 2, 2006
Last updated in NPPES Nov 27, 2023
Taxonomy & licenses
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 2806031205 (UT) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-00064 | Other | UT | UNITED HEALTHCARE |
| 36578 | Other | UT | PEHP |
| QM0000001619 | Other | UT | ALTIUS |
| 225984 | Other | UT | DMBA |
| 107006919101 | Other | UT | IHC HEALTHPLANS |
| 070008058 | Other | UT | PALMETTO |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Brian Bradshaw?
Brian Bradshaw is registered in NPPES with the primary taxonomy of Dermatology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-27.