Dr Jan B Bernhisel-broadbent, MD | |
2000 S 900 E, Salt Lake City, UT 84105-3208 | |
(801) 464-7500 | |
Not Available |
Full Name | Dr Jan B Bernhisel-broadbent |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 41 Years |
Location | 2000 S 900 E, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265487300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | 2673071205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 115 |
Granger Medical Specialists Llc | 4587074356 | 157 |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Granger Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Mailing Address | Practice Location Address |
---|---|
Dr Jan B Bernhisel-broadbent, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 464-7500 | Dr Jan B Bernhisel-broadbent, MD 2000 S 900 E, Salt Lake City, UT 84105-3208 Ph: (801) 464-7500 |
Craig M. Moffat, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Michell Marola Lozano Chinga, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4700 | |
Eric C Chenworth, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 201, Salt Lake City, UT 84102 Phone: 385-290-1289 Fax: 385-290-1290 | |
Elizabeth A. Kelly, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6272 Highland Dr, Salt Lake City, UT 84121 Phone: 801-871-6300 Fax: 801-871-6320 | |
Dr. Robert Silge, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2000 S 900 E, Salt Lake City, UT 84105 Phone: 801-464-7510 | |
Dr. Edwin Ansell Bronsky, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3700 E Millstream Dr, Salt Lake City, UT 84109 Phone: 801-277-6060 |