| Bryterson Medical | |
|
1423 S 315 E Salem UT 84653-5845 | |
| (801) 367-9585 | |
| Not Available |
| Full Name | Bryterson Medical |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1423 S 315 E, Salem, Utah |
| Authorized Official Name and Position | Jackie Bringhurst (OWNER) |
| Authorized Official Contact | 8013679585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryterson Medical 1423 S 315 E Salem UT 84653-5845 Ph: (801) 367-4133 | Bryterson Medical 1423 S 315 E Salem UT 84653-5845 Ph: (801) 367-9585 |
| NPI Number | 1164168035 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 08/26/2026 |
| Certification Date | 08/26/2026 |
| Medicare PECOS PAC ID | 3678958733 |
|---|---|
| Medicare Enrollment ID | O20220910000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164168035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Primary |
| Provider Name | Jackie Bringhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972172260 PECOS PAC ID: 9931410586 Enrollment ID: I20210826001635 |
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