DR. BRUCE WAYNE CARLIN (NPI# 1164845517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164845517 |
| Entity Type | Individual |
| Full Name | DR. BRUCE WAYNE CARLIN |
| Credential | MD |
| Practice Address |
375 Old Farm Ln Coalville UT 84017-6706 |
| Mailing Address |
Po Box 412 Camas WA 98607-0049 |
| Practice Telephone | 3603559354 |
| Mailing Telephone | 3605903095 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 160374-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
375 OLD FARM LN |
| City | COALVILLE |
| State | UT |
| Zip Code | 84017-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487866208 | Jeanette Vernon | Physician Assistant | 82 No 50 East, Coalville, UT 84017 | 2007-05-04 |
| 1164577201 | Brweye Inc | Optometrist | 82 North 50 East, Coalville, UT 84017 | 2007-01-25 |
| 1780731992 | Peak Performance Physical Therapy and Fitness | Physical Therapist | 23 South Main Street, Coalville, UT 84017 | 2007-01-03 |
| 1629159637 | County of Summit | Public Health or Welfare | 85 North 50 East, Coalville, UT 84017 | 2006-10-17 |
| 1336154103 | Peak Performance Pt | Physical Therapist | 23 South Main, Coalville, UT 84017 | 2006-07-30 |
| 1265602411 | Toole & Associates | Specialist | 142 South 50 East, Coalville, UT 84017 | 2008-03-04 |
| 1821266883 | Jean Paskett | Registered Nurse | 85 North 50 East, Coalville, UT 84017 | 2008-02-13 |
| 1538344411 | Donald Wain Allen | Clinic/Center | 142 South 50 East, Coalville, UT 84017 | 2008-01-09 |
| 1962617290 | Douglas B Toole | Physical Therapist | 142 South 50 East, Coalville, UT 84017 | 2007-05-11 |
| 1164676698 | Coalville Health Center | Clinic/Center | 142 S 50 East Suite 102, Pob 865, Coalville, UT 84017-0865 | 2008-11-11 |
| Find all providers in zip 84017 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945061 | Utah Urology Works LLC | Urology | 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 | 2020-06-05 |
| 1619402286 | Andrew Mazzone | Urology | University of Utah Som Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132-0001 | 2017-04-20 |
| 1588195135 | Laurel S. Mast | Urology | 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 | 2017-03-24 |
| 1104182476 | Jeffrey David Sparenborg | Urology | 1157 N 300 W Ste 301, Provo, UT 84604-6124 | 2012-04-11 |
| 1588933527 | Hal H Bourne | Urology | 3250 Millcreek Dell Ln, Salt Lake City, UT 84109-3184 | 2011-12-20 |
| 1740598887 | Ihc Health Services Inc | Urology | 4403 Harrison Blvd Ste 4440, Ogden, UT 84403-3291 | 2010-09-23 |
| 1083922926 | Perry T. Walters, M.d. PC | Urology | 425 Medical Drive #112, Bountiful, UT 84010 | 2010-09-14 |
| 1447589288 | Joseph Robert Armstrong | Urology | 3291 Piute Dr, Provo, UT 84604-4849 | 2009-12-07 |
| 1851627756 | Ned Legrande Mangelson | Urology | 2691 Roxbury Cir, Salt Lake City, UT 84108-2841 | 2009-10-27 |
| 1558593046 | Thomas S Brinton | Urology | 1380 E Medical Center Dr Ste 2100, St George, UT 84790 | 2009-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRUCE WAYNE CARLIN.
| 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.