Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Brian R Bradshaw , MD

Dermatology • Provo, UT

Active NPI 1811955800 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1055 N 500 W, Suite 111
Provo, UT 846043305

Call 8013748999 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

1055 N 500 W
Suite 111

Provo, UT 846043305

Telephone 8013748999
Fax 8014298063
Organization at the Same NPPES Address or Phone
No Roll Up Timpanogos Llc Facility NPI 1831153840

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

Medical School

University Of Utah School Of Medicine

Graduation Year

1988

Medicare patients

400 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $121,861 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $85,966 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

633 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$358,141 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $938.35 across 46 records.

By nature of payment

  • Food and Beverage: $839.35 across 45 records.
  • Education: $99.00 across 1 record.

Reporting-company totals (3 largest of 15)

  • Pfizer Inc.: $163.20 across 11 records.
  • Janssen Pharmaceuticals, Inc: $161.33 across 4 records.
  • Novartis Pharmaceuticals Corporation: $121.46 across 6 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

38 years (graduated 1988)

CMS Doctors and Clinicians data list 1988 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

2006

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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)

Dr. Bradshaw 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 Dr. Bradshaw 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 Provo and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Dermatology in Utah (2024, 123 clinicians with data). Median for this group: 1,861. Middle half: 953 to 4,077.

Too few clinicians listed under Dermatology in Provo have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Dermatology in Utah (2024, 123 clinicians with data). Median for this group: $105,609. Middle half: $50,802 to $207,855.

Too few clinicians listed under Dermatology in Provo have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Dermatology in Utah (2024, 123 clinicians with data). Median for this group: $74,322. Middle half: $33,246 to $144,157.

Too few clinicians listed under Dermatology in Provo have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Dermatology in Utah (2024, 128 clinicians with data). Median for this group: 373. Middle half: 170 to 679.

Too few clinicians listed under Dermatology in Provo have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Dermatology in Utah (2024, 128 clinicians with data). Median for this group: $13,021. Middle half: $3,904 to $112,079.

Too few clinicians listed under Dermatology in Provo have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Dermatology with a practice address in Provo, UT (179 in Utah).

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

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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 · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 46 records totaling $938.35.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Education
In-kind items and services
TREMFYA General $99.00
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $38.96
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $29.60
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ANZUPGO General $28.36
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ANZUPGO General $28.17
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $24.88
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $24.15
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $23.82
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $22.08
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $22.08
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $22.08
Arcutis Biotherapeutics, Inc.
Food and Beverage
In-kind items and services
Zoryve General $21.49
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $21.49
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
— General $20.67
SpringWorks Therapeutics, Inc.
Food and Beverage
In-kind items and services
GOMEKLI General $20.56
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
— General $20.41
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
ILUMYA General $19.84
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $19.69
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
NEMLUVIO General $19.52
Pfizer Inc.
Food and Beverage
In-kind items and services
CIBINQO General $19.20
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $18.91
Pfizer Inc.
Food and Beverage
In-kind items and services
LITFULO General $18.26
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $18.17
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $18.14
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $18.14

(top 25 shown)

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

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
949 159 $19.00 $6.19
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
400 300 $152.70 $86.18
88305 Pathology examination of tissue using a microscope, intermediate complexity
258 114 $148.00 $67.23
17000 Destruction of precancer skin growth, 1 growth
253 203 $126.00 $52.80
11102 Biopsy of related skin growth, first growth
84 72 $193.00 $83.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
74 59 $215.62 $119.68
17110 Destruction of skin growth, 1-14 growths
66 64 $216.00 $100.66
11103 Biopsy of related skin growth, each additional growth
43 20 $103.00 $46.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
42 42 $187.86 $105.81
17004 Destruction of precancer skin growth, 15 or more growths
22 15 $365.00 $149.82
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
21 12 $281.00 $99.73
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
21 12 $340.00 $123.92
17281 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
18 13 $344.00 $126.91
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
16 12 $35.00 $15.71
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
15 11 $316.00 $125.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 12 $94.85 $53.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
12 12 $583.00 $272.17
12052 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
12 12 $589.00 $282.93
88304 Pathology examination of tissue using a microscope, moderately low complexity
12 11 $85.00 $39.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $282.00 $147.93

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 81 2,619 $936.29 56
Clobetasol Propionate Clobetasol Propionate 48 1,221 $1,077.81 31
Ketoconazole Ketoconazole 48 1,370 $733.33 24
Doxycycline Hyclate Doxycycline Hyclate 30 906 $387.51 11
Fluocinonide Fluocinonide 29 838 $826.97 —
Methotrexate Methotrexate Sodium 23 703 $271.57 —
Ciclopirox Ciclopirox Olamine 23 715 $222.02 —
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 23 259 $253.70 20
Cephalexin Cephalexin 20 252 $149.66 17
Metronidazole Metronidazole 19 715 $1,060.44 12
Fluconazole Fluconazole 16 109 $82.84 11
Skyrizi Pen Risankizumab-Rzaa 16 1,232 $346,806.62 —
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 15 157 $106.23 12
Betamethasone Dipropionate Betamethasone Dipropionate 15 482 $1,128.25 —
Minoxidil Minoxidil 14 810 $125.85 —
Econazole Nitrate Econazole Nitrate 14 285 $583.24 —
Mupirocin Mupirocin 13 170 $92.60 —
Doxepin Hcl Doxepin Hcl 13 560 $565.65 —
Azithromycin Azithromycin 12 650 $165.35 —
Desonide Desonide 12 322 $1,263.57 —
Doxycycline Monohydrate Doxycycline Monohydrate 12 497 $305.48 —
Hydrocortisone Hydrocortisone 11 182 $122.43 —
Ciclopirox Ciclopirox 11 330 $491.22 —
Clindamycin Phosphate Clindamycin Phosphate 11 510 $382.25 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-25
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES UT 2806031205

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier United Healthcare
03-00064 (UT)
Other Identifier Pehp
36578 (UT)
Other Identifier Altius
QM0000001619 (UT)
Other Identifier Dmba
225984 (UT)
Other Identifier Ihc Healthplans
107006919101 (UT)
Other Identifier Palmetto
070008058 (UT)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20050323001451

Enrollment State Jurisdiction

UT

PECOS Control ID

6002862935

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

1055 N 500, Provo, UT 846043305

Phone: 8014298000

Clinicians Sharing This Practice Address or Phone

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

7 listed
Dr. Jake Fagan , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1548688989

Doctor of Medicine (M.D.)

NPI 1639490386

Doctor of Osteopathic Medicine (D.O.)

NPI 1669715819

Doctor of Medicine (M.D.)

Nicole Rawle , APRN

Nurse Practitioner

NPI 1669777314

Advanced Practice Registered Nurse

Jaddon Rogers , PA-C

Physician Assistant

NPI 1134638810

Physician Assistant (Certified)

NPI 1407943921

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 18, 2018

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

âś…
NPI Profile Active October 16, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 16, 2007

Registered at 1055 N 500 W, SUITE 111, PROVO, UT 846043305 (Tel: 8013748999)

📍
Business Mailing Address (Initial Record) October 16, 2007

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8013548225)

👤
Provider Name / Credentials (Initial Record) October 16, 2007

Recorded as BRIAN BRADSHAW, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2007

Dermatology (license number reported to NPPES: UT 2806031205)

🟢
Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1811955800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2006
Last Update: November 27, 2023
Sole Proprietor: No

Other Dermatology Specialists in Provo

Healthcare providers in Provo

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

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.