BRETT TYSON ALLDREDGE (NPI# 1538435979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538435979 |
| Entity Type | Individual |
| Full Name | BRETT TYSON ALLDREDGE |
| Credential | DO |
| Practice Address |
4403 Harrison Blvd # 4403 Ogden UT 84403-3271 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014423059 |
| Mailing Telephone | (801) 442-3059 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10268203-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 395 W 12th Ave Fl 3, Columbus, OH 432101267 | 8162881905 |
| Street Address |
4403 HARRISON BLVD # 4403 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225482276 | Preston Erickson | Psychiatry & Neurology | 4403 Harrison Blvd Ste 3855, Ogden, UT 84403-3349 | 2016-04-15 |
| 1992978753 | Trevor Jay Squire | Psychiatry & Neurology | 4401 Harrison Blvd Ste 3855, Ogden, UT 84403-3195 | 2008-04-11 |
| 1043625551 | John Charles Greenert | Psychiatry & Neurology | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2014-06-23 |
| 1093151987 | Melissa Mcdonald | Psychiatry & Neurology | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2013-05-17 |
| 1952651663 | Ihc Health Services Inc | Psychiatry & Neurology | 4403 Harrison Blvd, Ogden, UT 84403-3271 | 2012-09-11 |
| 1215172093 | Ihc Health Services Inc | Psychiatry & Neurology | 4403 Harrison Blvd, Ste 3855, Ogden, UT 84403-3349 | 2008-12-09 |
| 1174541742 | Richard Chris Hammond | Psychiatry & Neurology | 4650 Harrison Blvd, Ogden, UT 84403-4303 | 2006-07-18 |
| 1104875855 | Sydney C Piercey | Psychiatry & Neurology | 4650 Harrison Blvd, Ogden, UT 84403-4303 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607589 | Trenton L Overall, Inc | Psychiatry & Neurology | 295 S 1470 E Ste 301, St George, UT 84790-1762 | 2020-10-23 |
| 1720648744 | Carepoint Health, LLC | Psychiatry & Neurology | St. Mark's Hospital, 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-20 |
| 1629596382 | Red Rock Neurology, LLC | Psychiatry & Neurology | 515 S 300 E Ste 107, St George, UT 84770-3931 | 2017-09-01 |
| 1801273743 | Michael Cline | Psychiatry & Neurology | 825 E 1700 S, Salt Lake City, UT 84105-3225 | 2015-04-29 |
| 1619219847 | Mark Waheed | Psychiatry & Neurology | The University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2013-03-26 |
| 1568707586 | Kyle Mahoney | Psychiatry & Neurology | 175 N Medical Drive E 3rd Floor, Salt Lake City, UT 84132 | 2012-12-03 |
| 1922377043 | Southern Utah Neuropsychiatry | Psychiatry & Neurology | 577 East Tabernacle, St. George, UT 84770-2944 | 2011-12-19 |
| 1699076224 | Angela Yvonne Peters | Psychiatry & Neurology | University of Utah Dept of Neurology, 175 N Medical Drive East, Salt Lake City, UT 84132-0001 | 2010-11-12 |
| 1568697514 | Safdar Abbas Ansari | Psychiatry & Neurology | 175 N Medical Dr E Rm 3130, University of Utah, Clinical Neuroscience Center, Salt Lake City, UT 84132-0001 | 2009-05-20 |
| 1427235001 | Kevin Alan Walker | Psychiatry & Neurology | 440 D St Ste 200, Salt Lake City, UT 84103-2827 | 2008-01-26 |
| Find all providers with the same taxonomy | ||||
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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.