Russell D Bradford, MD - Medicare Pediatrics in Provo, UT

Russell D Bradford, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Provo, Utah. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 491-6482.

Russell D Bradford is licensed to practice in Alabama (license number 23648) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316093446.

Contact Information

Russell D Bradford, MD
1034 N 500 W,
Provo, UT 84604-3380
(801) 491-6482
Not Available



Physician's Profile

Full NameRussell D Bradford
GenderMale
SpecialityPediatrics - Pediatric Infectious Diseases
Location1034 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316093446
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 06/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8628151172
  • Enrollment ID: I20150608002737

Medical Identifiers

Medical identifiers for Russell D Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316093446NPI-NPPES
009919575MedicaidAL
009912727MedicaidAL
009919585MedicaidAL
051545309OtherALBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0208XPediatrics - Pediatric Infectious Diseases 23648 (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Russell D Bradford allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell D Bradford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell D Bradford, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 491-6482
Russell D Bradford, MD
1034 N 500 W,
Provo, UT 84604-3380

Ph: (801) 491-6482

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Pediatrics Doctors in Provo, UT

Dr. Renae Holland, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1300 E Center St, Utah State Hospital, Provo, UT 84606
Phone: 801-344-4311    Fax: 801-344-4225
Dr. Joshua Darrell Fuller, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604
Phone: 801-377-8000    
Jordan Gaudio, MD
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Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-1700    
Danielle Elise Smith, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-8411    
Dr. Chuanchau Jerry Jou, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604
Phone: 385-477-6800    Fax: 385-477-6801
Leslie Mark Lang, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-7707    
Bradley Wayne Anderson, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1355 N University Ave, #210, Provo, UT 84604
Phone: 801-373-8930    Fax: 801-377-6811

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