| Bryan Bartholomew Do Pc | |
|
520 Medical Dr Suite 200 Bountiful UT 84010-4968 | |
| (801) 294-9333 | |
| (801) 299-7811 |
| Full Name | Bryan Bartholomew Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Medical Dr, Bountiful, Utah |
| Authorized Official Name and Position | Bryan Bartholomew (PRESIDENT) |
| Authorized Official Contact | 8012949333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Bartholomew Do Pc 520 Medical Dr Suite 200 Bountiful UT 84010-4968 Ph: (801) 294-9333 | Bryan Bartholomew Do Pc 520 Medical Dr Suite 200 Bountiful UT 84010-4968 Ph: (801) 294-9333 |
| NPI Number | 1023189362 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/17/2010 |
| Medicare PECOS PAC ID | 8123027059 |
|---|---|
| Medicare Enrollment ID | O20061204000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023189362 | NPI | - | NPPES |
| 529313669001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200632448 (Utah) | Primary |
| Provider Name | Bryan Bartholomew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407956121 PECOS PAC ID: 2163429911 Enrollment ID: I20061108000691 |
Eln Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr Ste 103, Bountiful, UT 84010 Phone: 866-612-7449 | |
Holbrook Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 E 500 S, Bountiful, UT 84010 Phone: 801-299-4800 | |
Joe R Nielsen Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Dr, D-200, Bountiful, UT 84010 Phone: 801-292-6277 Fax: 801-292-1108 | |
Bountiful Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 W 400 N Ste 200b, Bountiful, UT 84010 Phone: 801-298-3812 Fax: 877-450-7813 | |
Wade Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 | |
Aspen Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 E 1650 S, Bountiful, UT 84010 Phone: 801-997-1276 |