Physician Assistant, Surgical
Mr. BRADFORD GREENE PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295998508 · enumerated 2008-07-07 · record updated 2008-07-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 10479 DIMPLE DELL RD, SANDY, UT, 84092-6521 (801) 943-8966 Google Maps Apple Maps OpenStreetMap
- Practice location 500 FOOTHILL BLVD, SALT LAKE CITY, UT, 84148-0001 (801) 582-1565 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License 322764-1206 UT
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841480001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.