DR. BRENNAN FIFE BUSHMAN (NPI# 1730707043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730707043 |
| Entity Type | Individual |
| Full Name | DR. BRENNAN FIFE BUSHMAN |
| Credential | DC |
| Practice Address |
2464 W 12600 S Ste 100 Riverton UT 84065-7274 |
| Mailing Address |
3191 S Wanita Ln Magna UT 84044-1785 |
| Practice Telephone | 8014777222 |
| Mailing Telephone | 8014556107 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11827629-1202 | UT | Chiropractic Providers |
| Street Address |
2464 W 12600 S STE 100 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-7274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384859 | Walter Conard | Chiropractor | 709 E Fremont Ave, Riverton, WY 82501-4420 | 2020-07-23 |
| 1417508854 | Grace V Robertson | Chiropractor | 6524 Se Quakerville Rd, Riverton, KS 66770 | 2019-09-26 |
| 1366972192 | Stokes Chiropractic LLC | Chiropractor | 2332 W 12600 S Ste 2a, Riverton, UT 84065-7173 | 2017-06-14 |
| 1518396787 | Val I. Palmer | Chiropractor | 2464 W. 12600 S., Suite 110, Riverton, UT 84065 | 2013-11-07 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1407168867 | Russell D Terry | Chiropractor | 3898 Innovation Dr, Ste B, Riverton, UT 84065-6037 | 2010-07-13 |
| 1275864746 | Jeffrey Simon Jensen | Chiropractor | 2464 W 12600 S, Suite 110, Riverton, UT 84065-7274 | 2010-01-23 |
| 1689805038 | Keith C. Robbins | Chiropractor | 3898 W 13400 S, Suite B, Riverton, UT 84065-6037 | 2009-08-03 |
| 1639350341 | Colarusso Family Chiropractic, PC | Chiropractor | 12571 S. Pasture Road, Suite E, Riverton, UT 84096-7037 | 2007-11-21 |
| 1194917898 | Stanley Glenn Larson | Chiropractor | 3898 W. 13400 So., Suite B., Riverton, UT 84065-6038 | 2007-08-16 |
| Find all providers in RIVERTON | ||||
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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.