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

Bradley David Tuckett, PA-C

Individual provider Physician Assistant · NPI 1790308260

Bradley David Tuckett, PA-C is a Physician Assistant in Elk Ridge, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

245 E Hudson Dr
Elk Ridge, UT 84651-9506
Phone: (801) 669-4297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8818148-1206 (UT)

Record details

NPI number1790308260
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022