Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477314003 Individual Practitioner Male Practitioner

Jackson Miles Bradford , PA

Physician Assistant • American Fork, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jackson Bradford, PA is a certified Physician Assistant practicing in American Fork, UT. With approximately 2 years of clinical experience since completing medical education in 2024, Jackson Bradford delivers high-quality medical care to the local community at 1175 E 50 S STE 221.

Jackson Bradford is affiliated with Revere Health Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1175 E 50 S Ste 221

American Fork, UT 840032845

Telephone 8017720775
Fax 8017721941
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in American Fork, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
42 Specialists

Practicing in American Fork, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bradford (2 Years) 2 Yrs
American Fork Specialty Average (9.9 Years) 9.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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.

Hospital & Practice Group Affiliations

Revere Health Pc

1175 E 50, American Fork, UT 840032845

Phone: 8017720775

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Wynn Hemmert , MD

Internal Medicine - Gastroenterology

NPI 1003874736

Doctor of Medicine (M.D.)

Dawn Ngo , PA-C

Physician Assistant

NPI 1194805978

Physician Assistant (Certified)

Dr. Mohammad Alsolaiman , MD

Internal Medicine - Gastroenterology

NPI 1215986484

Doctor of Medicine (M.D.)

Tiffany Steck , FNP-C

Nurse Practitioner - Family

NPI 1356156624

Family Nurse Practitioner (Certified)

Dr. Casey Owens , MD

Internal Medicine - Gastroenterology

NPI 1437348943

Doctor of Medicine (M.D.)

Lindsie Bastian , PA-C

Physician Assistant

NPI 1477236321

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 18, 2024

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

📍
Updated Business Mailing Address December 18, 2024

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

👤
Provider Name / Credentials Updated December 18, 2024

Recorded as JACKSON BRADFORD, PA

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

Physician Assistant (License #14078197-1206 in UT)

NPI Profile Active January 24, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2024

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

📍
Updated Business Mailing Address January 24, 2024

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

👤
Provider Name / Credentials Updated January 24, 2024

Recorded as JACKSON BRADFORD

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 84604

Phone: 8013548225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.