Scott E Bruderer
MOUNTAINSTAR SPECIALTY SERVICES LLC


Address: 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Phone: 8015685972

Scott E Bruderer (NPI# 1003988205, PAC ID# 4385660653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1003988205
PAC ID by PECOS 4385660653
Professional Enrollment ID I20051017000899
Full Name Scott E Bruderer
Organization Legal Name MOUNTAINSTAR SPECIALTY SERVICES LLC
Address 74 E Kimballs Ln
Suite 330
Draper
UT 84020-5006
Phone Number 8015685972
Gender M
Credential PA
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4688767551
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460060 LONE PEAK HOSPITAL

Other Locations

Address Phone Organization
74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006 8015685972 MOUNTAINSTAR SPECIALTY SERVICES LLC
74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009 8015685972 MOUNTAINSTAR SPECIALTY SERVICES LLC
1200 E 3900, Salt Lake City, UT 84124-1300 8012687111 MOUNTAINSTAR SPECIALTY SERVICES LLC
3580 W 9000, West Jordan, UT 84088-8812 8015618888 PHYSICIAN GROUP OF UTAH INC
3584 W 9000, Suite 405, West Jordan, UT 84088-5712 8015683480 PHYSICIAN GROUP OF UTAH INC
8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366 8015691999 MOUNTAINSTAR SPECIALTY SERVICES LLC

Organization Information

Organization Legal Name MOUNTAINSTAR SPECIALTY SERVICES LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Michael H Bourne Orthopedic Surgery Mountainstar Specialty Services LLC 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Angelo G Chachas General Surgery Mountainstar Specialty Services LLC 1250 E 3900 S, Suite 460, Salt Lake City, UT 84124-1349
Traske M Muir Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Stuart C Marshall Jr. Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Robert B Bourne Internal Medicine Mountainstar Specialty Services LLC 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Charles L Beck Jr. Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
E Marc Mariani Orthopedic Surgery Mountainstar Specialty Services LLC 8846 S Redwood Rd, Suite 121, West Jordan, UT 84088-9366
Spencer H Amundsen Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
David G Tranter Physician Assistant Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
Alfonso Preciado General Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009

Office Location

Street Address 74 E KIMBALLS LN
SUITE 330
City DRAPER
State UT
Zip 84020-5006

Physicians in the same location

Name Specialty Organization Address
James S Zebrack Cardiovascular Disease (cardiology) Mountainstar Cardiology St Marks LLC 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009
Philip Leonard Roberts Internal Medicine Mountainstar Medical Group-st. Marks Hospital LLC 74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009
Kenneth G Nielson Cardiovascular Disease (cardiology) Mountainstar Cardiology St Marks LLC 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009
Larry E Urry Dermatology 74 E Kimballs Ln, Suite 230, Draper, UT 84020-5005
Daniel Trevor Young Family Medicine Mountainstar Medical Group-st. Marks Hospital LLC 74 E Kimballs Ln, Suite 300, Draper, UT 84020-5009
Traske M Muir Orthopedic Surgery Mountainstar Specialty Services LLC 74 E Kimballs Ln, Suite 330, Draper, UT 84020-5006
David B Jack Family Medicine Mountainstar Medical Group-st. Marks Hospital LLC 74 E Kimballs Ln, Draper, UT 84020-5009
Vamsee M Yaganti Interventional Cardiology Mountainstar Cardiology St Marks LLC 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009
Andrew Charles Behunin Internal Medicine Mountainstar Cardiology St Marks LLC 74 E Kimballs Ln, Suite 260, Draper, UT 84020-5009
Andrew Robinson Family Medicine Mountainstar Medical Group-st. Marks Hospital LLC 74 E Kimballs Ln, Draper, UT 84020-5009
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Physicians in the same zip code

Name Specialty Organization Address
Mark Christensen Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Matthew Broadwater-hollifield Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Azher M Merchant Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Jeffrey L Hardin Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Laurie C Raborn Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Jinghui Li Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Charles David Eller Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Jeremy Voros Emergency Medicine Emergency Physicians Integrated Care LLC 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001
Jennifer F Robison Psychologist, Clinical 12481 S Fort St, Suite 275, Draper, UT 84020-2106
Matthew D Smith Chiropractic Elite Performance Health Center PC 13552 S 110 W, Suite 204, Draper, UT 84020-2403
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Competitor

Search similar physicians

City DRAPER
Zip Code 84020
Specialty PHYSICIAN ASSISTANT
City + Specialty DRAPER + PHYSICIAN ASSISTANT

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Dataset Information

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.

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