DUSTIN TODD BRADLEY – Certified Registered Nurse Anesthetist, NPI 1942684162

DUSTIN TODD BRADLEY is a healthcare provider. based in Vernal, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 7562535-4406 (UT). The NPI Number for DUSTIN TODD BRADLEY is 1942684162

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN TODD BRADLEY
NPI
1942684162
Phone
(435) 828-2541
Address
808 W 300 N
Enumeration Date
17 July 2015
Last Update Date
17 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357811200
Graduation Year
2015 (11 years ago)
PAC ID
7719296771
Group Practice PAC ID
4284683947
Professional Enrollment ID
I20151014002652
Address ID
UT840782036VE150XX100X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

Provider Addresses for DUSTIN TODD BRADLEY

  • 808 W 300 N

    VERNAL, UT 840783812

    Phone: (435) 828-2541

    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)

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: 2015-10-14

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
I20151014002652ICertified Registered Nurse Anesthetist (Crna)UTTBD

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
00812Anesthesia for exam of colon using an endoscope1614$0
01402Anesthesia for procedure for total knee joint replacement1311$0
View full utilization report →

Insurance plans in this area (ZIP 84078)

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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: 4284683947View full group profile
NameSpecialtyState
Orthopedic SurgeryKS
Certified Registered Nurse Anesthetist (Crna)NE
O B S T E T R I C S/ G Y N E C O L O G YUT
Internal MedicineCO
Internal MedicineFL
General SurgeryUT
Certified Nurse Midwife (Cnm)UT
Nurse PractitionerUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

What is the registry number for DUSTIN TODD BRADLEY?
The registry entry for DUSTIN TODD BRADLEY shows NPI 1942684162.
Should I treat DUSTIN TODD BRADLEY as an active provider?
Patients and plans typically see DUSTIN TODD BRADLEY as active in the national extract.
What services align with DUSTIN TODD BRADLEY's listing?
DUSTIN TODD BRADLEY's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to DUSTIN TODD BRADLEY?
The directory associates DUSTIN TODD BRADLEY with Vernal, Utah. Check all listed addresses for suites or satellite offices.
Can I export DUSTIN TODD BRADLEY's record?
You can download the official NPPES record; we summarize key fields for readability.

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