Individual provider · Type 1 NPI

Rulon Ralph Bradley, MD

Procedural Dermatology Physician · Salt Lake City, UT

NPI number 1386681005 Active

Practice location

166 E 5900 S, Suite B-111
Salt Lake City, UT 84107-7257

Fax (801) 266-9390

Mailing address

4659 Stillwood Cir
Salt Lake City, UT 84117-8055

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X1620901205 (UT)
Procedural Dermatology Physician Primary 207NS0135X1620908905 (UT)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1386681005

Rulon Ralph Bradley, MD's National Provider Identifier is 1386681005, issued on Jun 1, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 13, 2026.