MR. BRADLEY B ANDREW (P.A.) – Physician Assistant, NPI 1801013230

MR. BRADLEY B ANDREW (P.A.) is a healthcare provider. based in American fork, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 6546889-1206 (UT). The NPI Number for MR. BRADLEY B ANDREW (P.A.) is 1801013230

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRADLEY B ANDREW (P.A.)
NPI
1801013230
Phone
(801) 769-0901
Address
52 N 1100 E
Enumeration Date
19 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017630901
Graduation Year
2006 (20 years ago)
PAC ID
4082708169
Group Practice PAC ID
1153306360
Professional Enrollment ID
I20070920000071
Address ID
UT840032829AM212XX1100300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MR. BRADLEY B ANDREW (P.A.)

  • 52 N 1100 E

    AMERICAN FORK, UT 840032952

    Phone: (801) 769-0901

    Fax: (801) 769-0903

    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 278 Open Payments records for all available years, with a total value of $4,414.

Total Amount is formed as General ($4,414) + Research ($0) + Ownership ($0) = $4,414.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,079).

Total Amount

$4,414

General + Research + Ownership

Payments

278

Total payment records

General Amount

$4,414

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: 2007-09-20

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
I20070920000071IPhysician AssistantUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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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: 1153306360View full group profile
NameSpecialtyState
Physician AssistantUT
Physician AssistantUT
N E U R O L O G YUT
N E U R O L O G YUT

Reviews

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Frequently asked questions

How do payers reference MR. BRADLEY B ANDREW (P.A.)?
For MR. BRADLEY B ANDREW (P.A.), use NPI 1801013230 as the unique 10-digit identifier.
Is MR. BRADLEY B ANDREW (P.A.) shown as active in public data?
Registry records indicate MR. BRADLEY B ANDREW (P.A.) maintains an active NPI.
What clinical focus is listed for MR. BRADLEY B ANDREW (P.A.)?
At a glance, MR. BRADLEY B ANDREW (P.A.) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Utah is MR. BRADLEY B ANDREW (P.A.) registered?
Use American Fork, Utah as the headline location for MR. BRADLEY B ANDREW (P.A.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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