BRETT EARL


Address: 458 N 500 W, Bountiful, UT 84010-6948
Phone: 8012968060

BRETT EARL (NPI# 1568423564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568423564
Entity Type Individual
Full Name BRETT EARL
Credential MD
Practice Address 458 N 500 W
Bountiful
UT 84010-6948
Practice Telephone 8012968060
Practice Fax Number 8012968050
Mailing Telephone 8012968060
Mailing Fax Number 8012968050
Enumeration Date 2006-03-29
Last Update Date 2013-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 5110301-1205 UT Allopathic & Osteopathic Physicians
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
5110301-1205 UT Allopathic & Osteopathic Physicians
Y 208D00000X General Practice 5110301 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT D4575 05

Office Location

Street Address 458 N 500 W
City BOUNTIFUL
State UT
Zip Code 84010-6948

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124673660 Jared Thomas Brown Chiropractor 458 N 500 W, Bountiful, UT 84010-6948 2019-08-01
1215465042 Tanner Clark Chiropractor 458 N 500 W, Bountiful, UT 84010-6948 2017-05-24
1073061974 Judd Gines Chiropractor 458 N 500 W, Bountiful, UT 84010-6948 2016-09-20
1104296623 Lauren Lightfield Nurse Practitioner 458 N 500 W, Bountiful, UT 84010 2015-09-26
1629407697 Integrated Functional Medicine General Practice 458 N 500 W, Bountiful, UT 84010-6948 2013-11-11
1598005647 Travis Enrique Castillon Chiropractor 458 N 500 W, Bountiful, UT 84010-6948 2013-02-27
1366795502 Integrated Wellness Group LLC Chiropractor 458 N 500 W, Bountiful, UT 84010-6948 2012-10-25
1487935045 Steven Ivan White Physician Assistant 458 N 500 W, Bountiful, UT 84010-6948 2011-09-08
1033168372 Cory M Frogley Chiropractor 458 N 500 W, Bountiful, UT 84010-6948 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225699192 Jessyca K Willie Behavior Technician 415 S. Medical Drive Suite D101, Bountiful, UT 84010 2019-06-21
1336634344 Shanna Joy Jaggers Social Worker 2333 S 200 E, Bountiful, UT 84010 2018-06-22
1447773171 Live Life Alarms Emergency Response System Companies 640 South 500 West, Bountiful, UT 84010 2017-07-25
1902328842 Hailey Embley Behavior Technician 415 Medical Drive D 101, Bountiful, UT 84010 2017-07-12
1508318031 Beverly Nielsen Psychologist 1001 Lakeview Drive, Bountiful, UT 84010 2016-11-01
1295287720 Samantha Oslund Speech-Language Pathologist 415 Medical Dr Ste B102, Bountiful, UT 84010 2016-11-01
1750748273 Jeremy Clark Morris Dentist 59 W 1600 N, Suite 110, Bountiful, UT 84010 2016-01-28
1629464706 Shane James Speech-Language Pathologist 425 Medical Dr Ste 122, Bountiful, UT 84010 2015-04-15
1891186102 Kenton Francis Social Worker 1355 North Main Street #1, Bountiful, UT 84010 2015-02-09
1205233855 Modern Dental Professionals - Utah, PC Dentist 24 S. 500 West, #a, Bountiful, UT 84010 2014-11-25
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629407697 Integrated Functional Medicine General Practice 458 N 500 W, Bountiful, UT 84010-6948 2013-11-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366056269 Dry Creek Integrative Medical LLC General Practice 3300 N Running Creek Way Bldg E, Lehi, UT 84043-5563 2020-09-08
1225647480 Utah Therapeutic Health Center General Practice 740 E 3900 S Ste 108, Salt Lake City, UT 84107-2525 2020-07-23
1750922415 Woundtech of Utah, Inc. General Practice 517 D St, Salt Lake City, UT 84103-2831 2019-10-03
1992355630 East West Health Pleasant Grove LLC General Practice 11020 N 5500 W # 101, Highland, UT 84003-9643 2019-09-15
1396393369 Root Medical General Practice 266 W 100 N Ste 2, Vernal, UT 84078-2026 2019-09-03
1154973576 Koraima Morel Tirado General Practice 1035 W 190 S, Lehi, UT 84043-3833 2019-07-15
1841856986 Northwestern Band of The Shoshone Nation Health & Human Services Dept. General Practice 241 W Forest St Ste A, Brigham City, UT 84302-2014 2019-05-14
1790297661 The Bridge Recovery Center General Practice 98 N 6680 W, Hurricane, UT 84737-6138 2017-10-31
1790295947 Low T Clinic, LLC General Practice 2150 N Main St Ste 10, North Logan, UT 84341-1740 2017-10-02
1104345636 Coral Canyon Joint & Spine Health General Practice 83 S 2600 W Ste 102, Hurricane, UT 84737-3268 2017-09-15
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Competitor

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City BOUNTIFUL
Zip Code 84010

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Dataset Information

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.

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