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

Mr. Bradford Greene, PA

Individual provider Surgical Physician Assistant · NPI 1295998508

Mr. Bradford Greene, PA is a Surgical Physician Assistant in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

500 Foothill Blvd
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 322764-1206 (UT)

Record details

NPI number1295998508
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 7, 2008
Last updated in NPPESJuly 7, 2008

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