ADAM RUSSELL BRADFORD (DO) – Physical Medicine & Rehabilitation Physician, NPI 1578850160
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
153 PHYSICAL MEDICINE AND REHABILITATION in UT
Provider Addresses for ADAM RUSSELL BRADFORD (DO)
1394 W 2250 S
WOODS CROSS, UT 840872439
Phone: (801) 558-1638
Type: Mailing
344 E 100 S
Salt Lake City, UT 841111700
Phone: (801) 322-4257
Type: Location
750 E ADAMS ST
SYRACUSE, NY 132101834
Phone: (315) 464-5820
Type: Mailing
2331 Franklin Rd SW
Roanoke, VA 240141111
Phone: (540) 981-7000
Type: Location
1900 Electric Rd
Salem, VA 241537474
Phone: (540) 776-4128
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250723000860 | I | Physical Medicine And Rehabilitation | VA | TBD |
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.
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 84087)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology) | VA | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | MI | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| - | VA |
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