JEREMY BROADHURST (NPI# 1114115664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114115664 |
Entity Type | Individual |
Full Name | JEREMY BROADHURST |
Credential | DO |
Practice Address |
190 S Highway 165 Providence UT 84332-9512 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 4357553300 |
Mailing Telephone | 8013577930 |
Enumeration Date | 2007-10-10 |
Last Update Date | 2012-03-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 6681706-1204 | UT | Allopathic & Osteopathic Physicians |
Street Address |
190 S HIGHWAY 165 |
City | PROVIDENCE |
State | UT |
Zip Code | 84332-9512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
1821421710 | Erin Campbell | Physical Therapist | 267 West Spring Creek Parkway, Providence, UT 84332 | 2013-08-14 |
1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
1316134356 | Heather Saxton Maughan | Speech-Language Pathologist | 344 E Edgehill Dr, Providence, UT 84332 | 2007-10-03 |
1902021538 | Brad L Thomas | Physical Therapist | 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 | 2007-04-17 |
Find all providers in zip 84332 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982254876 | Jean Ernst Noel | Family Medicine | 22 Parsonage St # 194, Providence, RI 02903-4758 | 2019-09-12 |
1619526217 | Jean Simon Joel Edouard | Family Medicine | 22 Parsonage St # 184, Providence, RI 02903-4758 | 2019-09-05 |
1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
1053443911 | Chad Brown Health Center | Family Medicine | 285a Chad Brown St, Providence, RI 02908-3102 | 2007-03-09 |
1679608582 | Peachtree Family Medicine PC | Family Medicine | 169 N Gateway Dr, 170, Providence, UT 84332-9855 | 2007-02-22 |
1679647432 | Marsha Maxine Miller | Family Medicine | Brown University Health Services, Brown University, 13 Brown Street, Providence, RI 02912-0001 | 2006-11-20 |
1881781920 | Arthur A Frazzano | Family Medicine | 97 Waterman St, Providence, RI 02912-9079 | 2006-10-09 |
1871609842 | Wayne C Cole | Family Medicine | 121 East Main St, Providence, KY 42450 | 2006-08-22 |
1629181268 | David J Coia | Family Medicine | 235 Plain St Ste 103, Providence, RI 02905-3242 | 2006-08-17 |
1326151937 | Solmaz Behtash | Family Medicine | 712 Broad St, Providence, RI 02907-1465 | 2006-08-16 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 84332 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.