Jackson Miles Bradford, PA
NPI 1477314003ActiveIndividual· Physician Assistant· American Fork, UT
Physician Assistant (PA) with Revere Health PC, practicing in American Fork, Utah. Enrolled in Medicare as practitioner - physician assistant. Abbvie Inc. was the largest of 18 companies reporting payments in 2025, $2,668 in all, mostly food and beverage. Lists American Fork Hospital as a hospital affiliation.
Overview
| NPI | 1477314003 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 22, 2024 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14078197-1206 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Hospital affiliation
- American Fork HospitalAmerican Fork, UT
Industry payments (Open Payments)
- 2025$2,668 · 170 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $548.58 | 41 |
| Takeda Pharmaceuticals U.S.A., Inc. | $399.45 | 28 |
| Janssen Biotech, Inc. | $350.93 | 21 |
| Aimmune Therapeutics, Inc. | $262.06 | 20 |
| Ardelyx, Inc. | $193.07 | 12 |
What the 2025 payments were for
- Food and Beverage$2,668 · 170 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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