Brennen Rick Holt (NPI# 1831552066, PAC ID# 2961763016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1831552066 |
| PAC ID by PECOS | 2961763016 |
| Professional Enrollment ID | I20191101001054 |
| Full Name | Brennen Rick Holt |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
9660 S 1300 Avh Physi Billing Sandy UT 84094-3762 |
| Phone Number | 8015012600 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460061 | |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5121 S Cottonwood Dr, Imed Wound Care, Murray, UT 84157 | 8014088998 | IHC HEALTH SERVICES INC |
| 9660 S 1300, Avh Physi Billing, Sandy, UT 84094-3762 | 8015012600 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
9660 S 1300 AVH PHYSI BILLING |
| City | SANDY |
| State | UT |
| Zip | 84094-3762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| Eddie C Iorg | Emergency Medicine | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| Adam Clinton Blanchard | Emergency Medicine | Ihc Health Services Inc | 9660 S 1300, Avh Physi Billing, Sandy, UT 84094-3762 |
| Fernando Rivero | Physician Assistant | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| Robert R Greenlee | Emergency Medicine | Ihc Health Services Inc | 9660 S 1300, Avh Radiology, Sandy, UT 84094-3762 |
| Jonathan J Gochnour | Emergency Medicine | Ihc Health Services Inc | 9660 S 1300, Avh Physi Billing, Sandy, UT 84094-3762 |
| Kelli J Moylan | Physician Assistant | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| Jeffrey Hansen | Emergency Medicine | Ihc Health Services Inc | 9660 S 1300, Avh Phy Billing, Sandy, UT 84094-3762 |
| Mark Ryan Mawhinney | General Surgery | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| Chesley Ellen Wells | Hospitalist | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Mark Koniuch | Physical Medicine and Rehabilitation | 8074 S 1300, Sandy, UT 84094-0743 | |
| Maisa K Morris | Family Medicine | 8074 S 1300, Sandy, UT 84094-0743 | |
| Morris N Lewis Jr. | Psychologist, Clinical | 8074 S 1300, Sandy, UT 84094-0743 | |
| Joshua Joseph Minori | Physical Medicine and Rehabilitation | 8074 S 1300, Sandy, UT 84094-0743 | |
| Eric Overton | Family Medicine | After Hours Medical LLC | 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744 |
| Bojan Jurosevic | Physical Therapy | 7940 S 1300, Sandy, UT 84094-0744 | |
| Gretchen A Dennison | Nurse Practitioner | After Hours Medical LLC | 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744 |
| Jill Palmer | Speech Language Pathologist | Zenith Physical Therapy, Pllc | 7940 S 1300, Sandy, UT 84094-0744 |
| Michael Edward Cobble | Family Medicine | 9355 S 1300, Sandy, UT 84094-3135 | |
| Nathan T Eldredge | Chiropractic | 720 E New England Dr, Sandy, UT 84094-3590 | |
| Find all physicians in zip 84094 | |||
| City | SANDY |
| Zip Code | 84094 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SANDY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brennen Rick Holt.
| 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.