Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jim Bradway MD PC

Organization Anesthesiology Physician · NPI 1639475171

Jim Bradway MD PC is an Anesthesiology Physician in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Medical Dr
Bountiful, UT 84010-4908
Phone: (801) 292-6231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 1654201205 (UT)

Record details

NPI number1639475171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim Bradway — Owner · (801) 364-2278
NPI enumeratedFebruary 1, 2011
Last updated in NPPESFebruary 1, 2011
Mailing address201 E South Temple, 619, Salt Lake City, UT 84111-1250

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