MEDICARE: DR. BRAD SCOTT WEBB D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	6044606-0501	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	DF1798	OTHER		PALMETTO GBA

General Provider Information

NPI Number	:	1518900562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRAD SCOTT WEBB D.P.M.

Provider Business Mailing Address
First Line	:	1811 W ROYAL HUNTE DR STE 2
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8351
Country	:	US
Telephone Number	:	435-586-2225
Fax Number	:	435-867-1909

Provider Business Practice Location Address
First Line	:	1811 W ROYAL HUNTE DR STE 2
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8351
Country	:	US
Telephone Number	:	435-586-2225
Fax Number	:	435-867-1909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	10/31/2011

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