IndividualActive
Bradley Henriksen, M.D.
NPI 1467838094 · Pediatric Ophthalmology and Strabismus Specialist Physician · Provo, UT
Provider details
- NPI number
- 1467838094
- Entity type
- Individual
- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11598920-1205 (UT)
Mailing address
1735 N State St
Provo, UT 84604-1010
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2020-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.