BRADLEY P NIELSEN – Anesthesiology Physician, NPI 1457359317

BRADLEY P NIELSEN is a healthcare provider. based in Salt lake city, Utah. specializing in ANESTHESIOLOGY. They hold a License No. 2373399-1205 (UT). The NPI Number for BRADLEY P NIELSEN is 1457359317

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY P NIELSEN
NPI
1457359317
Phone
(801) 993-9530
Address
1954 FORT UNION BLVD
Enumeration Date
13 July 2005
Last Update Date
11 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8012687111
Graduation Year
1990 (36 years ago)
PAC ID
7810937810
Group Practice PAC ID
0840194643
Professional Enrollment ID
I20050510000248
Address ID
UT841241300SA1200X3900302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 ANESTHESIOLOGY in UT

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Provider Addresses for BRADLEY P NIELSEN

  • 1954, Fort Union Boulevard, Cottonwood Heights, Salt Lake County, Utah, 84121, United States

    SALT LAKE CITY, UT 841216800

    Phone: (801) 993-9530

    Fax: (801) 733-5618

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($144).

Total Amount

$144

General + Research + Ownership

Payments

1

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

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: 2005-05-10

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
I20050510000248IAnesthesiologyUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84121)

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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: 0840194643View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YKS
-UT
A N E S T H E S I O L O G YKY
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YNV
-UT
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What NPI should I save for BRADLEY P NIELSEN?
Save NPI 1457359317 if you need a stable reference for BRADLEY P NIELSEN.
Is BRADLEY P NIELSEN active in the national directory?
BRADLEY P NIELSEN's public NPI profile is in an active state.
What field does BRADLEY P NIELSEN work in?
You can think of BRADLEY P NIELSEN as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does BRADLEY P NIELSEN practice in Utah?
You will see Salt Lake City, Utah on file for BRADLEY P NIELSEN alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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