IndividualActive
Bradley Weaver, MD/PHD
NPI 1891425484 · Diagnostic Radiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1891425484
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD/PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 14241132-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
30 N Medical Dr
Salt Lake City, UT 84132-3228
Phone: (801) 608-2723
Approximate (ZIP-level) locationGet directions
Mailing address
30 N Mario Capecchi Rm 2s100
Salt Lake City, UT 84112
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.