| Brandon Ellis Tullis, MD | |
|
3850 Canyons Resort Drive, Park City, UT 84098-6546 | |
| (435) 645-4130 | |
| Not Available |
| Full Name | Brandon Ellis Tullis |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 9 Years |
| Location | 3850 Canyons Resort Drive, Park City, 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 |
|---|---|---|---|
| 1184050601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | 5980963-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Utah Valley Hospital | Provo, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Ellis Tullis, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 645-4130 | Brandon Ellis Tullis, MD 3850 Canyons Resort Drive, Park City, UT 84098-6546 Ph: (435) 645-4130 |
Dr. Joshua Turner Napier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7400 | |
Marjory A Bravard, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1743 S Sidewinder Drive Unit 114, Park City, UT 84060 Phone: 307-840-9834 | |
Dr. Claudia B Fish, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 200, Park City, UT 84060 Phone: 435-658-7400 Fax: 435-658-7424 | |
Todd Andrew Bigatel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7411 | |
Dr. Winston Brent Bokor, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1526 Ute Blvd Ste 205, Park City, UT 84098 Phone: 385-520-7888 Fax: 865-213-9956 | |
Donald John Brust, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 200, Park City, UT 84060 Phone: 435-658-7400 |