DR. BRAD TAYLOR LANDRUM (MD) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1356870620

DR. BRAD TAYLOR LANDRUM (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in UNDERSEA AND HYPERBARIC MEDICINE, FAMILY PRACTICE, FAMILY PRACTICE, UNDERSEA AND HYPERBARIC MEDICINE. They hold the professional credentials MD. They hold a License No. S0001 (TX). The NPI Number for DR. BRAD TAYLOR LANDRUM (MD) is 1356870620

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRAD TAYLOR LANDRUM (MD)
NPI
1356870620
Phone
Not provided
Address
PO BOX 27128
Enumeration Date
8 June 2017
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8015077751
Graduation Year
2017 (9 years ago)
PAC ID
2567886997
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20250827003226
Address ID
UT841075704SA5171XSTXX400

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:8State licenses:2Other names

10 UNDERSEA AND HYPERBARIC MEDICINE in UT

Provider Addresses for DR. BRAD TAYLOR LANDRUM (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 5171 S COTTONWOOD ST

    MURRAY, UT 841075704

    Phone: (866) 415-6556

    Type: Location

  • 3600 Gaston Ave Ste 210

    Dallas, TX 752461822

    Phone: (214) 820-4400

    Fax: (214) 820-2655

    Type: Location

  • 400 W Lyndon B Johnson Fwy Ste 130

    Irving, TX 750633700

    Phone: (972) 990-5222

    Fax: (972) 990-3900

    Type: Location

  • Clara Barton Boulevard, Garland, Dallas County, Texas, 75042, United States

    GARLAND, TX 750425755

    Phone:

    Type: Mailing

  • 601, Clara Barton Boulevard, Garland, Dallas County, Texas, 75042, United States

    SUITE 340

    GARLAND, TX 75042

    Phone: (817) 793-0513

    Type: Location

  • 2928 DANIEL AVE

    DALLAS, TX 752051516

    Phone: (817) 793-0513

    Fax: (214) 820-2655

    Type: Mailing

  • 400 W LYNDON B JOHNSON FWY STE 130

    IRVING, TX 750633700

    Phone: (972) 990-5222

    Fax: (972) 990-3900

    Type: Location

  • 9819 EDGECOVE DR

    DALLAS, TX 752381535

    Phone: (817) 793-0513

    Fax: (972) 990-3900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $775.

Total Amount is formed as General ($775) + Research ($0) + Ownership ($0) = $775.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($158).

Total Amount

$775

General + Research + Ownership

Payments

34

Total payment records

General Amount

$775

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: 2025-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210810003721IFamily PracticeTXTBD
I20250827003226IUndersea And Hyperbaric MedicineUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes828112$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15326$0
11042Removal of skin and tissue, 20.0 sq cm or less9151$0
99204New patient office or other outpatient visit, 45-59 minutes7575$0
99212Established patient office or other outpatient visit, 10-19 minutes4740$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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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: 1850209420View full group profile
NameSpecialtyState
Emergency MedicineUT
-OR
Diagnostic RadiologyUT
Family PracticeUT
H O S P I T A L I S TUT
O B S T E T R I C S/ G Y N E C O L O G YUT
-UT
-UT
-UT
Family PracticeUT

Reviews

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Frequently asked questions

What NPI should I save for DR. BRAD TAYLOR LANDRUM (MD)?
Save NPI 1356870620 if you need a stable reference for DR. BRAD TAYLOR LANDRUM (MD).
Does this profile mean DR. BRAD TAYLOR LANDRUM (MD) is currently active?
Yes — DR. BRAD TAYLOR LANDRUM (MD) appears active in the national provider directory.
What does DR. BRAD TAYLOR LANDRUM (MD) treat or focus on?
Patients typically see DR. BRAD TAYLOR LANDRUM (MD) under the specialty Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRAD TAYLOR LANDRUM (MD)'s primary listing?
We display Salt Lake City, Utah because that is what the record indicates for DR. BRAD TAYLOR LANDRUM (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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