DR. BRADLEY SCOTT LOGAN M.D. NPI 1821213067

NPI Information

  • NPI: 1821213067
  • Provider Name: DR. BRADLEY SCOTT LOGAN, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22299 STATE ROAD 54 STE 105
    LUTZ, FL
    ZIP 33549
  • Phone: (813) 333-1516

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NPI Details

DR. Bradley Scott Logan, M.D. is an emergency medicine in Lutz, FL with 47 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Bradley Scott Logan, M.D. NPI is 1821213067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALGARY, FACULTY OF MEDICINE
Graduation Year:1979

The provider's business location address is:

22299 STATE ROAD 54 STE 105
LUTZ, FL
ZIP 33549-942
Phone: (813) 333-1516

The NPI 1821213067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2007 and was last updated on 9/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD48929ALABAMANo
2207P00000XEmergency MedicineMD0000030054TENNESSEEYes
3207V00000XObstetrics & GynecologyMD0000030054TENNESSEENo
4208D00000XGeneral PracticeME140190FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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