1578654224 NPI number — BRYAN ADAMS NP

Table of content: BRYAN ADAMS NP (NPI 1578654224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578654224 NPI number — BRYAN ADAMS NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADAMS
Provider First Name:
BRYAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578654224
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
127 E MAIN ST
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
LEHI
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84043-2288
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-766-9822
Provider Business Mailing Address Fax Number:
801-766-9441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 E MAIN ST
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
LEHI
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84043-2288
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-766-9822
Provider Business Practice Location Address Fax Number:
801-766-9441
Provider Enumeration Date:
09/27/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225400000X , with the licence number:  197032-4405 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 197032-4405 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 500018008 . This is a "PALMETTO" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 61565 . This is a "PEHP" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".