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

Dr. Brady Cade Blackham, DO

Individual provider Family Medicine Physician · NPI 1679701197

Dr. Brady Cade Blackham, DO is a Family Practice in Gunnison, Utah. Qualified in 2009, 17 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
17
Licensed in
ID, UT
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

95 E Center St
Gunnison, UT 84634
Phone: (435) 528-7227
Fax: (435) 528-2175
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8334270-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MR-1062 (ID)

Record details

NPI number1679701197
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2009
Last updated in NPPESNovember 27, 2023
Certification dateMarch 24, 2020
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3321

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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