Mr. Brady John Tucker, PA-C
Mr. Brady John Tucker, PA-C is a Physician Assistant in Layton, Utah. Qualified in 2011, 15 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Utah.
- Years since qualifying
- 15
- Licensed in
- ID, UT
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2121 N 1700 WLayton, UT 84041-8803
Phone: (801) 773-4840
Fax: (801) 525-8151
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 8612587-1206 (UT) |
|---|---|
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence 8612587-1206 (UT) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA-981 (ID) |
Record details
| NPI number | 1174884290 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 5, 2012 |
| Last updated in NPPES | February 13, 2020 |
| Certification date | February 13, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Tanner Memorial Clinic — 252 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |