Breanna Bradley Black, PA-C
Physician Assistant · Provo, UT
Breanna Bradley Black, PA-C is a physician assistant with a practice address in Provo, Utah, and NPI 1346972502, issued on Jun 27, 2022. Check the license (Utah 13603008-1206, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Breanna Bradley Black
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 13603008-1206 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1055 N 500 W Bldg A, Provo, UT 84604
- Phone
- (801) 812-5033
- Enumerated
- Jun 27, 2022
- Record last updated
- Oct 3, 2023
- Fax
- (801) 418-0941
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,887 in Utah → Look up another NPI →
Also registered at 1055 N 500 W Bldg A
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Amy DaltonNurse Practitioner1104433606
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Verify Breanna Bradley Black in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 13603008-1206Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $97.87
6 payments; by number, the most common kind was food and beverage; the largest payer was Ironshore Pharmaceuticals Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Breanna Bradley Black among 1,887 physician assistant records in Utah
Breanna Bradley Black, PA-C is one of 1,887 physician assistant records with a practice address in Utah. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 79% of them.
- NPI issued2022 · 79% of these records are older, 14% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileNo · 69% of these records are
- Record last updated2023 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
147 physician assistant records list a practice address in Provo
They are 147 of the 5,405 NPPES records with a practice address in Provo, and 1,887 physician assistant records in Utah.
All 1,887 in Utah → Every provider in Provo → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Heather Benally, PA-CProvo, UT 846041659327153
- Troy Bitters, PAProvo, UT 846041861439333
- Molly Brotherson, PAProvo, UT 846041578598132
- Bryce Hancock, PAProvo, UT 846041457309668
- Bret Hilton, PAProvo, UT 846041467451609
- Megan Jensen-Hill, PA-CProvo, UT 846041083649750
- Eric Leach, PA-CProvo, UT 846041124068739
- Mark Loveless, PA-CProvo, UT 846041063427904
Common questions
What is Breanna Bradley Black, PA-C's NPI number?
Breanna Bradley Black, PA-C's National Provider Identifier (NPI) is 1346972502, issued on Jun 27, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Breanna Bradley Black, PA-C located?
The NPPES record lists a practice address at 1055 N 500 W Bldg A, Provo, UT, 84604. Phone: (801) 812-5033. Providers update this record themselves, so call before visiting.
How can I verify Breanna Bradley Black, PA-C's license?
NPPES lists Utah license number 13603008-1206, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.