Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brady John Tucker, PA-C

Individual provider Pulmonary Disease Physician · NPI 1174884290

Mr. Brady John Tucker, PA-C is a Physician Assistant in Layton, Utah. Qualified in 2011, 15 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Utah.

Years since qualifying
15
Licensed in
ID, UT
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2121 N 1700 W
Layton, UT 84041-8803
Phone: (801) 773-4840
Fax: (801) 525-8151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8612587-1206 (UT)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 8612587-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA-981 (ID)

Record details

NPI number1174884290
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2012
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Tanner Memorial Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 252 clinicians in the practice; 12 are shown here.