BRADLEY J. WATERMAN (MD) – Urology Physician, NPI 1699718809
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
97 UROLOGY in UT
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Provider Addresses for BRADLEY J. WATERMAN (MD)
100 South, Salt Lake City, Salt Lake County, Utah, 84112-0102, United States
SUITE 110
SALT LAKE CITY, UT 841021501
Phone: (801) 531-9453
Fax: (801) 531-9467
Type: Mailing
100 South, Poplar Grove, Salt Lake City, Salt Lake County, Utah, 84116, United States
Suite 110
Salt Lake City, UT 841021501
Phone: (801) 531-9453
Fax: (801) 531-9467
Type: Location
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
24 S 1100 E STE 105
SALT LAKE CITY, UT 841021593
Phone: (801) 965-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 77 Open Payments records for all available years, with a total value of $1,637.
Total Amount is formed as General ($1,637) + Research ($0) + Ownership ($0) = $1,637.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Dendreon Pharmaceuticals LLC ($305).
Total Amount
$1,637
General + Research + Ownership
Payments
77
Total payment records
General Amount
$1,637
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dendreon Pharmaceuticals LLC | $305 |
| ABBVIE INC. | $137 |
| Medtronic, Inc. | $125 |
| Boston Scientific Corporation | $112 |
| Intuitive Surgical, Inc. | $107 |
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: 2007-08-08
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 |
|---|---|---|---|---|
| I20070808000277 | I | Urology | UT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J9030 | Bcg live intravesical instillation, 1 mg | 3,354 | 13 | $0 |
| 81003 | Automated urinalysis test | 385 | 228 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 226 | 202 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 222 | 170 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 123 | $0 |
Insurance plans in this area (ZIP 84102)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | UT | 55700 | Biopsy of prostate gland | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| - | UT | |
| Pulmonary Disease, Critical Care (Intensivists) | UT | |
| Pain Management | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Family Practice | UT |
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