Individual provider · NPI-1

Dalton K. Brady, MD

Physical Medicine & Rehabilitation, Sports Medicine · Salt Lake City, UT

NPI number1619554201
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1619554201
Entity type
Individual (NPI-1)
Name
Dalton K. Brady
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2021
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine7491686-1205UTYes
208VP0014X Pain Medicine, Interventional Pain Medicine7491686-1205UT
204R00000X Electrodiagnostic Medicine7491686-1205UT
2083S0010X Preventive Medicine, Sports Medicine7491686-1205UT
208100000X Physical Medicine & Rehabilitation7491686-1205UT

Practice location

1521 E 3900 S Ste 200
Salt Lake City, UT 84124-1550

Phone 801-262-8486 · Fax 801-587-8699

Mailing address

1521 E 3900 S Ste 200
Salt Lake City, UT 84124-1550

Phone 801-262-8486

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