OrganizationActive
Jim Bradway MD PC
NPI 1639475171 · Anesthesiology Physician · Bountiful, UT
Jim Bradway MD PC is a Anesthesiology Physician organization in Bountiful, UT (NPI 1639475171).
Provider details
- NPI number
- 1639475171
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jim Bradway, Owner(801) 364-2278
- License
- 1654201205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 Medical Dr
Bountiful, UT 84010-4908
Phone: (801) 292-6231
Street-level locationGet directions
Mailing address
201 E South Temple
Salt Lake City, UT 84111-1250
Registry dates
- Enumerated
- 2011-02-01
- Last updated
- 2011-02-01
Frequently asked questions
- What is Jim Bradway MD PC's NPI number?
- Jim Bradway MD PC's National Provider Identifier (NPI) is 1639475171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jim Bradway MD PC?
- Jim Bradway MD PC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jim Bradway MD PC located?
- Jim Bradway MD PC's practice location on file with NPPES is 630 Medical Dr, Bountiful, UT 84010-4908.
- What is Jim Bradway MD PC's phone number?
- The practice phone number listed in the NPPES registry for Jim Bradway MD PC is (801) 292-6231.
- Who is the authorized official for Jim Bradway MD PC?
- The authorized official listed on Jim Bradway MD PC's NPPES record is Jim Bradway, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jim Bradway MD PC's NPI active?
- Yes — Jim Bradway MD PC's NPI (1639475171) is active in the NPPES registry as of the last update on 2011-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.