Individual
MR. BRADLEY J BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 NORTH 1100 EAST, AMERICAN FORK, UT 84003
(801) 714-6570
Mailing address
PO BOX 430, SPANISH FORK, UT 84660-0430
(866) 898-7136
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
274483
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006388102
SELECT HEALTH
UT
01
—
264936
DESERET MUTUAL
UT
01
—
87052006001001
BCBS
UT
01
—
870636000BE1
EDUCATORS MUTUAL
UT
05
—
D0551
—
UT
Enumeration date
05/19/2006
Last updated
05/05/2008
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