Brian W Fukushima (NPI# 1073543740, PAC ID# 2769389972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1073543740 |
| PAC ID by PECOS | 2769389972 |
| Professional Enrollment ID | I20031216000671 |
| Full Name | Brian W Fukushima |
| Address |
5323 S Woodrow St Suite 200 Murray UT 84107-5844 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460006 | LDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5323 S Woodrow St, Suite 200, Murray, UT 84107-5844 |
| Street Address |
5323 S WOODROW ST SUITE 200 |
| City | MURRAY |
| State | UT |
| Zip | 84107-5844 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Danielson | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Shane Anderson | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Stacy Ann Bond-bero | Nurse Practitioner | Granger Medical Clinic Inc | 5323 S Woodrow St, Suite 201, Salt Lake City, UT 84107-5846 |
| Evan Robert Brownie | General Surgery | Ihc Health Services Inc | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Travis Todd Mckenzie | Diagnostic Radiology | Ihc Health Services Inc | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Emily Rae Johnson | Diagnostic Radiology | Ihc Health Services Inc | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Justin Patrick Hawes | Orthopedic Surgery | 5323 S Woodrow St, Suite 200, Murray, UT 84107-5844 | |
| Peter H Frech | Diagnostic Radiology | Mountain Medical Physician Specialists PC | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Steven Eugene Nickman | Physician Assistant | Ihc Health Services Inc | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Alicia Cosette Brunner | Physician Assistant | Ihc Health Services Inc | 5323 S Woodrow St, Murray, UT 84107-5841 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | MURRAY |
| Zip Code | 84107 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MURRAY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Brian W Fukushima.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.