MEDICARE: BRADY JOHN MORLOCK NP

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	363LF0000X	Family Nurse Practitioner	12656411-4405	UT
2	363LF0000X	Family Nurse Practitioner	C-APN.0105832-C-NP	CO

General Provider Information

NPI Number	:	1053274704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADY JOHN MORLOCK NP

Provider Business Mailing Address
First Line	:	2862 S 8200 W
Second Line	:
City	:	MAGNA
State	:	UT
Zip	:	84044-1316
Country	:	US
Telephone Number	:	801-635-6127
Fax Number	:

Provider Business Practice Location Address
First Line	:	2862 S 8200 W
Second Line	:
City	:	MAGNA
State	:	UT
Zip	:	84044-1316
Country	:	US
Telephone Number	:	801-635-6127
Fax Number	:	801-797-0241

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	06/03/2026

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Directions to “ BRADY JOHN MORLOCK NP” Practice Location

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