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

Bradley J. Waterman, MD

Individual provider Urology Physician · NPI 1699718809

Bradley J. Waterman, MD is an Urology in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2002, 24 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah and Wisconsin.

Years since qualifying
24
Trained at
University of Utah School of Medicine
Licensed in
UT, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24 S 1100 E Ste 105
Salt Lake City, UT 84102-1593
Phone: (801) 965-3600
Show map & directions

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

Additional practice locations (1)

  • 1060 E 100 S, Salt Lake City, UT 84102-1501 — (801) 531-9453

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 6602968-1205 (UT)
Urology Physician Taxonomy 208800000X · Licence 46318 (WI)

Record details

NPI number1699718809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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