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

Kirsten Davies Bradley, PA-C

Individual provider Physician Assistant · NPI 1508449505

Kirsten Davies Bradley, PA-C is a Physician Assistant in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Community Health Centers Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1365 W 1000 N
Salt Lake City, UT 84116-1654
Phone: (801) 328-5750
Fax: (877) 497-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13564207-1206 (UT)

Record details

NPI number1508449505
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Health Centers Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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