| Bryan R Bartholomew, DO | |
|
520 Medical Dr Ste 200, Bountiful, UT 84010 | |
| (801) 299-7800 | |
| Not Available |
| Full Name | Bryan R Bartholomew |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 520 Medical Dr Ste 200, Bountiful, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407956121 | NPI | - | NPPES |
| D6955 | Medicaid | UT | |
| P00807099 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 308222-1204 (Utah) | Secondary |
| 208M00000X | Hospitalist | 308222-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Hospice Of Utah, Llc | American fork, UT | Hospice |
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Timpanogos Regional Hospital | Orem, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Physician Group Llc | 6204199086 | 18 |
| Entity Name | Utah Regional Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
| Entity Name | Claris Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356797070 PECOS PAC ID: 5496097396 Enrollment ID: O20200328000186 |
| Entity Name | Impact Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114428612 PECOS PAC ID: 6204199086 Enrollment ID: O20240109003187 |
| Entity Name | Santibanez Pac Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan R Bartholomew, DO Po Box 1468, Bountiful, UT 84011-1468 Ph: (801) 299-7800 | Bryan R Bartholomew, DO 520 Medical Dr Ste 200, Bountiful, UT 84010 Ph: (801) 299-7800 |
Mr. David Rayburn Moore, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 620 East Medical Drive #205, Bountiful, UT 84010 Phone: 801-298-0057 Fax: 801-298-9765 | |
Scott E Southworth, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 |