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Brady J Tucker

  • Male

Medical Specialty

Professional ID

  • NPI: 1174884290
  • PECOS ID: 6901056480
  • Enrollment ID: I20140113001386
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 460041
  • Business Name (LBN)1: Davis Hospital And Medical Center
  • Hospital CCN2: 460005
  • Business Name (LBN)2: Ogden Regional Medical Center

Medical Practices

  • Organization Name: Tanner Memorial Clinic
  • Group Practice ID assigned by PECOS: 4284547985
  • Number of Group Practice member: 111

Location

  • Address1: 2121 N 1700
  • Address2: Tanner Clinic
  • City: Layton
  • State: Utah
  • Zip Code: 84041
  • Phone Number: (801)773-4840

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):