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

Bradley Weaver, MD/PHD

Individual provider Diagnostic Radiology Physician · NPI 1891425484

Bradley Weaver, MD/PHD is a Diagnostic Radiology Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
Specialties on file
2

Practice location Address checks out

30 N Medical Dr
Salt Lake City, UT 84132-3228
Phone: (801) 608-2723
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 14241132-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891425484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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