Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jackson Miles Bradford , PA

Physician Assistant β€’ American Fork, UT

Active NPI 1477314003 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1175 E 50 S Ste 221
American Fork, UT 840032845

Call 8017720775 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1175 E 50 S Ste 221

American Fork, UT 840032845

Telephone 8017720775
Fax 8017721941
Organization at the Same NPPES Address or Phone
Central Utah Clinic, P.c. Facility NPI 1023251204

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Revere Health Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Open Payments general payments, program year 2025

All general payments: $2,668.14 across 170 records.

By nature of payment

  • Food and Beverage: $2,668.14 across 170 records.

Reporting-company totals (3 largest of 18)

  • ABBVIE INC.: $548.58 across 41 records.
  • Takeda Pharmaceuticals U.S.A., Inc.: $399.45 across 28 records.
  • Janssen Pharmaceuticals, Inc: $350.93 across 21 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jackson Bradford has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jackson Bradford as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in American Fork and Utah

42 active clinicians are listed under Physician Assistant with a practice address in American Fork, UT (1,887 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in American Fork

19% of these 42 clinicians have the CMS telehealth indicator.

81% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): 170 records totaling $2,668.14.

Manufacturer Payment Nature Product Type Amount ($)
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $39.43
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $32.68
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $30.81
Celltrion USA Inc.
Food and Beverage
In-kind items and services
VEGZELMA General $29.81
ORPHALAN INC
Food and Beverage
In-kind items and services
CUVRIOR General $29.23
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $27.84
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $26.76
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $26.25
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $25.19
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $25.07
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $24.70
Celltrion USA Inc.
Food and Beverage
In-kind items and services
VEGZELMA General $24.70
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $24.46
Aimmune Therapeutics, Inc.
Food and Beverage
In-kind items and services
VOWST General $24.32
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $24.31
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $24.11
Celltrion USA Inc.
Food and Beverage
In-kind items and services
VEGZELMA General $24.09
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $23.46
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $23.44
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
β€” General $23.33
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $23.25
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $23.12
Aimmune Therapeutics, Inc.
Food and Beverage
In-kind items and services
VOWST General $23.02
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $22.94
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $22.86

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES UT 14078197-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241227000826

Enrollment State Jurisdiction

UT

PECOS Control ID

6901333285

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Revere Health Pc

1175 E 50, American Fork, UT 840032845

Phone: 8017720775

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Mohammad Alsolaiman , MD

Internal Medicine - Gastroenterology

NPI 1215986484

Doctor of Medicine (M.D.)

Dr. David Frantz , MD, MS

Internal Medicine - Gastroenterology

NPI 1700092004

Doctor of Medicine (M.D.), Master of Science

Dawn Ngo , PA-C

Physician Assistant

NPI 1194805978

Physician Assistant (Certified)

Dr. Casey Owens , MD

Internal Medicine - Gastroenterology

NPI 1437348943

Doctor of Medicine (M.D.)

Adrienne Shaver , NP

Nurse Practitioner

NPI 1659595742

Nurse Practitioner

Tomeika Ulett-Garcia , NP

Nurse Practitioner - Adult Health

NPI 1780027722

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 18, 2024

Registered at 1175 E 50 S STE 221, AMERICAN FORK, UT 840032845 (Tel: 8017720775)

πŸ“
Updated Business Mailing Address December 18, 2024

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604 (Tel: 8013548225)

πŸ‘€
Provider Name / Credentials Updated December 18, 2024

Recorded as JACKSON BRADFORD, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2024

Physician Assistant (license number reported to NPPES: UT 14078197-1206)

βœ…
NPI Profile Active January 24, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 24, 2024

Registered at 1450 N MAIN ST, SALINAS, CA 939065100 (Tel: 2089714954)

πŸ“
Business Mailing Address (Initial Record) January 24, 2024

Registered at 1450 N MAIN ST, SALINAS, CA 939065100 (Tel: 2089714954)

πŸ‘€
Provider Name / Credentials (Initial Record) January 24, 2024

Recorded as JACKSON BRADFORD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration January 22, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477314003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2024
Last Update: December 18, 2024
Sole Proprietor: No

Other Physician Assistants in American Fork

All Physician Assistants in American Fork

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 84604

Phone: 8013548225

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.