DR. JAN B BERNHISEL-BROADBENT (NPI# 1265487300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265487300 |
| Entity Type | Individual |
| Full Name | DR. JAN B BERNHISEL-BROADBENT |
| Credential | MD |
| Practice Address |
2000 S 900 E Salt Lake City UT 84105-3208 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014647500 |
| Mailing Telephone | 8014647500 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
2673071205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2000 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232750 | Rachel Elizabeth Baar | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2006-05-17 |
| 1528689528 | Elizabeth Ashby | Specialist/Technologist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2020-04-30 |
| 1245754878 | Rebecca Vaillancourt Swain | Nurse Practitioner | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2017-07-26 |
| 1891242541 | Madelena H. Pimentel | Physician Assistant | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2016-09-09 |
| 1528488111 | Haddie Chaney | Physical Therapist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2014-04-22 |
| 1417374323 | Robert J Willer Jr. | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2014-03-28 |
| 1184055592 | Derek John Storrs | Physical Therapist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2013-12-11 |
| 1033558903 | Igor A Areinamo | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2013-06-24 |
| 1093014425 | Barbora Dvorakova Nelson | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2011-03-24 |
| 1851617716 | Kortni Lynn Unger | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2010-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306027842 | Aaron Kobernick | Allergy & Immunology | 50 N Medical Dr # 28, Salt Lake City, UT 84132-2632 | 2007-11-26 |
| 1902080237 | Robert Silge | Allergy & Immunology | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012911 | Timothy John Sullivan IIi | Allergy & Immunology | 4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304 | 2005-06-08 |
| 1104356013 | Tanner Memorial Clinic | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2017-06-13 |
| 1144648213 | Gourley Allergy & Asthma PC | Allergy & Immunology | 6065 S Fashion Blvd, Ste 255, Murray, UT 84107-7381 | 2014-04-04 |
| 1659616241 | Rocky Mountain Allergy Asthma and Immunology, LLC | Allergy & Immunology | 1660 W Antelope Dr, Suite 225, Layton, UT 84041-1156 | 2012-12-07 |
| 1548513799 | Timothy Sullivan, Md PC | Allergy & Immunology | 4403 Harrison Blvd, Ste# 4640, Ogden, UT 84403-3271 | 2012-10-24 |
| 1467576322 | Scott D Dickson | Allergy & Immunology | 1350 N 500 E, Logan, UT 84341-2400 | 2007-03-18 |
| 1780716563 | Vicki J Lyons Md PC | Allergy & Immunology | 4403 Harrison Blvd, Suite 4640, Ogden, UT 84403-3271 | 2007-03-09 |
| 1346324761 | Douglas Harry Jones | Allergy & Immunology | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-10-24 |
| 1942318530 | Marcia L Muggelberg | Allergy & Immunology | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-25 |
| 1326013574 | Vicki J Lyons | Allergy & Immunology | 4403 Harrison Blvd, Suite 4640, Ogden, UT 84403-3271 | 2006-02-21 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
Please comment or provide details below to improve the information on DR. JAN B BERNHISEL-BROADBENT.
| 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.