BRIGHAM YOUNG UNIVERSITY (NPI# 1215027099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215027099 |
| Entity Type | Organization |
| Organization Name | BRIGHAM YOUNG UNIVERSITY |
| Practice Address |
1130 Sfh Sports Med Provo UT 84602 |
| Practice Telephone | 8013776918 |
| Practice Fax Number | 8013776919 |
| Mailing Telephone | 8013776918 |
| Mailing Fax Number | 8013776919 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | MICHAEL KING (ASSOCIATE ATHLETIC DIRECTOR/CONTROL) |
| Authorized Official Telephone | 8014222098 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | ========= | UT | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
| 1194930495 | Brigham Young University | Physiological Laboratory | Y Be Fit, 127 Richards Building, Brigham Young University, Provo, UT 84602 | 2007-05-11 |
| 1083788111 | Brigham Young University | Local Education Agency (LEA) | 522 W 40 N, Orem, UT 84057-5310 | 2006-11-20 |
| 1467584300 | Brigham Young University | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84604-8600 | 2007-03-09 |
| 1942276092 | Brigham Young University | Point of Service | 1750 N Wymount Terrace Dr, 2300, Provo, UT 84602-4800 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIGHAM YOUNG UNIVERSITY | A41 Asb, Provo, UT 84602-1014 |
| Street Address |
1130 SFH SPORTS MED |
| City | PROVO |
| State | UT |
| Zip Code | 84602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180006 | Logan Mock | Student in an Organized Health Care Education/Training Program | 547 W 200 N # 2, Provo, UT 84601-2659 | 2020-06-30 |
| 1689295131 | Cajin Rain Christianson Savage | Student in an Organized Health Care Education/Training Program | 717 E 3230 N, Provo, UT 84604-4727 | 2020-05-06 |
| 1336783414 | Mckenzie Christine Cunningham | Student in an Organized Health Care Education/Training Program | 151 E 300 N Apt 12, Provo, UT 84606-2985 | 2019-11-01 |
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1891298238 | Andrew Ray | Student in an Organized Health Care Education/Training Program | 1526 W 1730 N, Provo, UT 84604-1707 | 2018-03-12 |
| 1760917702 | Stephen Alefaio Adams | Student in an Organized Health Care Education/Training Program | 1189 E 300 N, Provo, UT 84606-3539 | 2017-04-27 |
| 1821535022 | Haelly Kirk | Student in an Organized Health Care Education/Training Program | 1724 N 450 W, Apt 208, Provo, UT 84604-1480 | 2017-01-25 |
| 1477097509 | James Ahuna | Student in an Organized Health Care Education/Training Program | 778 E 560 N Apt 108, Provo, UT 84606-2140 | 2016-12-08 |
| 1255786976 | Justin Zamora | Student in an Organized Health Care Education/Training Program | 223 W Bulldog Blvd, #506, Provo, UT 84604-2546 | 2016-05-01 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| Find all providers in PROVO | ||||
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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.