BRADLEY GEORGE NEUENSCHWANDER (D.O.) – Dermatology Physician, NPI 1174740799

BRADLEY GEORGE NEUENSCHWANDER (D.O.) is a healthcare provider. based in Layton, Utah. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 72708151204 (UT). The NPI Number for BRADLEY GEORGE NEUENSCHWANDER (D.O.) is 1174740799

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY GEORGE NEUENSCHWANDER (D.O.)
NPI
1174740799
Phone
(801) 773-4840
Address
2121 N 1700 W
Enumeration Date
18 April 2007
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8017734840
Graduation Year
2005 (21 years ago)
PAC ID
7113094863
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20090827000473
Address ID
UT840418803LA2121X1700300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

Provider Addresses for BRADLEY GEORGE NEUENSCHWANDER (D.O.)

  • 2121 N 1700 W

    LAYTON, UT 840418803

    Phone: (801) 773-4840

    Fax: (801) 525-8103

    Type: Location

  • PO BOX 337

    LAYTON, UT 840410337

    Phone: (801) 773-4840

    Fax: (801) 525-8103

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,133.

Total Amount is formed as General ($1,133) + Research ($0) + Ownership ($0) = $1,133.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($362).

Total Amount

$1,133

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-27

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
I20090827000473IDermatologyUTTBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg3,20013$0
17003Destruction of precancer skin growth, 2-14 growths24762$0
99213Established patient office or other outpatient visit, 20-29 minutes128114$0
17000Destruction of precancer skin growth, 1 growth9885$0
17110Destruction of skin growth, 1-14 growths9084$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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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: 4284547985View full group profile
NameSpecialtyState
Nurse PractitionerUT
Family PracticeUT
Physician AssistantUT
Internal Medicine, EndocrinologyUT
Family PracticeUT
-UT
O T O L A R Y N G O L O G YUT
Physician AssistantAZ
Qualified AudiologistUT
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

Is BRADLEY GEORGE NEUENSCHWANDER (D.O.) listed with a National Provider Identifier?
Yes — BRADLEY GEORGE NEUENSCHWANDER (D.O.) has NPI 1174740799 on file in the registry.
Is BRADLEY GEORGE NEUENSCHWANDER (D.O.) still an active registrant?
BRADLEY GEORGE NEUENSCHWANDER (D.O.) carries an active NPI according to the public dataset.
What clinical focus is listed for BRADLEY GEORGE NEUENSCHWANDER (D.O.)?
At a glance, BRADLEY GEORGE NEUENSCHWANDER (D.O.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is BRADLEY GEORGE NEUENSCHWANDER (D.O.) registered?
Use Layton, Utah as the headline location for BRADLEY GEORGE NEUENSCHWANDER (D.O.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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