BRADLEY HENRIKSEN (M.D.) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1467838094

BRADLEY HENRIKSEN (M.D.) is a healthcare provider. based in Provo, Utah. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 11598920-1205 (UT). The NPI Number for BRADLEY HENRIKSEN (M.D.) is 1467838094

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY HENRIKSEN (M.D.)
NPI
1467838094
Phone
(801) 374-1818
Address
1735 N STATE ST
Enumeration Date
5 August 2015
Last Update Date
14 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8014269800
Graduation Year
2015 (11 years ago)
PAC ID
1254627318
Group Practice PAC ID
3577464908
Professional Enrollment ID
I20200713002230
Address ID
UT840577709OR820XX980X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

214 OPHTHALMOLOGY in UT

Provider Addresses for BRADLEY HENRIKSEN (M.D.)

  • 1735 N STATE ST

    PROVO, UT 846041010

    Phone: (801) 374-1818

    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 3 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Alcon Vision LLC ($85).

Total Amount

$126

General + Research + Ownership

Payments

3

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2020-07-13

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
I20200713002230IOphthalmologyUTTBD

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
92060Exam to measure eye deviation and range of motion15760$0
92012Established patient problem focused exam of visual system6846$0
99214Established patient office or other outpatient visit, 30-39 minutes3127$0
92285Photography of content of eyes2727$0
67311Realignment of horizontal eye muscle1111$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 3577464908View full group profile
NameSpecialtyState
O P H T H A L M O L O G YUT
-UT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

What federal number belongs to BRADLEY HENRIKSEN (M.D.)?
The federal identifier for BRADLEY HENRIKSEN (M.D.) is NPI 1467838094.
Is BRADLEY HENRIKSEN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRADLEY HENRIKSEN (M.D.)'s specialty in plain language?
Clinically, the directory lists BRADLEY HENRIKSEN (M.D.) with Pediatric Ophthalmology and Strabismus Specialist Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRADLEY HENRIKSEN (M.D.)?
The page summarizes Provo, Utah for BRADLEY HENRIKSEN (M.D.); expand the address list for detail.
How can I contact BRADLEY HENRIKSEN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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