SAMUEL BRADEN (MD) – Diagnostic Radiology Physician, NPI 1073814141

SAMUEL BRADEN (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 1234567 (UT). The NPI Number for SAMUEL BRADEN (MD) is 1073814141

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL BRADEN (MD)
NPI
1073814141
Phone
Not provided
Address
30 N 1900 E
Enumeration Date
5 November 2010
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4024890200
Graduation Year
2015 (11 years ago)
PAC ID
9335429463
Group Practice PAC ID
4284628652
Professional Enrollment ID
I20210621001647
Address ID
NE685061276LI1500XSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

347 DIAGNOSTIC RADIOLOGY in UT

Provider Addresses for SAMUEL BRADEN (MD)

  • 30 N 1900 E

    SALT LAKE CITY, UT 841322140

    Phone:

    Type: Mailing

  • PO BOX 7239

    LOVELAND, CO 805370239

    Phone: (970) 663-2742

    Fax: (970) 342-2093

    Type: Mailing

  • 3901 PINE LAKE RD STE 214

    LINCOLN, NE 685165427

    Phone: (024) 816-0004

    Fax: (402) 423-4100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210621001647IDiagnostic RadiologyNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,5931,256$0
70450Ct scan head or brain without contrast453431$0
77067Screening mammography445445$0
77063Screening 3d breast mammography445445$0
71046X-ray of chest, 2 views315306$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284628652View full group profile
NameSpecialtyState
-NE
Clinical PsychologistNE
Clinical PsychologistNE
Diagnostic RadiologyCO
Diagnostic RadiologyTX
Clinical PsychologistNE
Registered Dietitian Or Nutrition ProfessionalNE
Diagnostic RadiologyMO
Hematology/Oncology, Internal MedicineNE
Radiation OncologyNE

Reviews

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Frequently asked questions

What federal number belongs to SAMUEL BRADEN (MD)?
The federal identifier for SAMUEL BRADEN (MD) is NPI 1073814141.
Is SAMUEL BRADEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SAMUEL BRADEN (MD)'s specialty in plain language?
Clinically, the directory lists SAMUEL BRADEN (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMUEL BRADEN (MD)?
The page summarizes Salt Lake City, Utah for SAMUEL BRADEN (MD); expand the address list for detail.
How can I contact SAMUEL BRADEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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