MR. BRADY JOHN TUCKER (PA-C) – Physician Assistant, NPI 1174884290

MR. BRADY JOHN TUCKER (PA-C) is a healthcare provider. based in Layton, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 8612587-1206 (UT). The NPI Number for MR. BRADY JOHN TUCKER (PA-C) is 1174884290

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRADY JOHN TUCKER (PA-C)
NPI
1174884290
Phone
(801) 773-4840
Address
PO BOX 337
Enumeration Date
5 June 2012
Last Update Date
13 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017734840
Graduation Year
2011 (15 years ago)
PAC ID
6901056480
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20140113001386
Address ID
UT840415356LA425XX100X300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MR. BRADY JOHN TUCKER (PA-C)

  • PO BOX 337

    LAYTON, UT 840410337

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Mailing

  • 2121 N 1700 W

    LAYTON, UT 840418803

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 203 Open Payments records for all available years, with a total value of $3,925.

Total Amount is formed as General ($3,925) + Research ($0) + Ownership ($0) = $3,925.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($583).

Total Amount

$3,925

General + Research + Ownership

Payments

203

Total payment records

General Amount

$3,925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2014-01-13

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
I20140113001386IPhysician AssistantUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes518370$0
99213Established patient office or other outpatient visit, 20-29 minutes9998$0
99203New patient office or other outpatient visit, 30-44 minutes6464$0
99215Established patient office or other outpatient visit, 40-54 minutes3836$0
36415Insertion of needle into vein for collection of blood sample3432$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

What NPI should I save for MR. BRADY JOHN TUCKER (PA-C)?
Save NPI 1174884290 if you need a stable reference for MR. BRADY JOHN TUCKER (PA-C).
Is MR. BRADY JOHN TUCKER (PA-C)'s NPI currently valid?
The extract we use shows MR. BRADY JOHN TUCKER (PA-C) as active.
What does MR. BRADY JOHN TUCKER (PA-C) treat or focus on?
Patients typically see MR. BRADY JOHN TUCKER (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. BRADY JOHN TUCKER (PA-C)'s primary listing?
We display Layton, Utah because that is what the record indicates for MR. BRADY JOHN TUCKER (PA-C).
What if Layton, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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