Jim Bradway MD PC
Jim Bradway MD PC is a healthcare organization registered as Anesthesiology Physician in Bountiful, UT, holding Type 2 (organization) NPI 1639475171 since 2011. The authorized official on file is Jim Bradway, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639475171 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jim Bradway MD PC |
| Practice address | 630 MEDICAL DR, Bountiful, UT, 84010 |
| Phone | 8012926231 |
| Enumeration date | 2011-02-01 |
| Last updated in NPPES | 2011-02-01 |
Authorized official
| Name | Jim Bradway |
|---|---|
| Title | Owner |
| Phone | 8013642278 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207L00000X | Anesthesiology Physician | Primary | 1654201205 | UT |
Copy-ready billing details
Provider: Jim Bradway MD PC NPI: 1639475171 Taxonomy: 207L00000X (Anesthesiology Physician) Address: 630 MEDICAL DR, Bountiful, UT, 84010
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053302786 | Oliver Mcpherson | Individual | Psychiatry Physician | Bountiful, UT |
| 1144201120 | Richard Hartvigsen | Individual | Diagnostic Radiology Physician | Bountiful, UT |
| 1053392613 | Richard Pope | Individual | Diagnostic Radiology Physician | Bountiful, UT |
| 1417923251 | Austin Imus | Individual | Neurology Physician | Bountiful, UT |
| 1528010451 | Hospital Corporation of Utah | Organization | General Acute Care Hospital | Bountiful, UT |
| 1417901497 | Hospital Corporation of Utah | Organization | General Acute Care Hospital | Bountiful, UT |
| 1326092305 | Hospital Corporation of Utah | Organization | General Acute Care Hospital | Bountiful, UT |
| 1689628661 | Hospital Corporation of Utah | Organization | Skilled Nursing Facility | Bountiful, UT |
Verify this record
Cross-check NPI 1639475171 against the authoritative CMS record: view Jim Bradway MD PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-02-01.