Jason Todd Bruse (NPI# 1679502710, PAC ID# 6608947981) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1679502710 |
| PAC ID by PECOS | 6608947981 |
| Professional Enrollment ID | I20080613000065 |
| Full Name | Jason Todd Bruse |
| Organization Legal Name | OGDEN CLINIC PC |
| Address |
991 Shepard Land Suite 210 Farmington UT 84025 |
| Phone Number | 8014753000 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9638078033 |
| Number of Group Practice Members | 151 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460061 |
| Address | Phone | Organization |
|---|---|---|
| 991 Shepard Land, Suite 210, Farmington, UT 84025 | 8014753000 | OGDEN CLINIC PC |
| Organization Legal Name | OGDEN CLINIC PC |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Wilson | Nurse Practitioner | Ogden Clinic PC | 3225 W Gordon Ave, 1 Odgen Clinic Davis Family Physicians, Layton, UT 84041-8769 |
| Samantha L Clarkson | Nurse Practitioner | Ogden Clinic PC | 5740 Crestwood Dr, Ogden, UT 84405-4869 |
| Darek K Eggleston | Family Medicine | Ogden Clinic PC | 1100 W 2700, Pleasant View, UT 84414-1217 |
| Matthew A Hagemeyer | Family Medicine | Ogden Clinic PC | 1159 12th St, Ogden, UT 84404-5144 |
| Jessica Wozab | Physician Assistant | Ogden Clinic PC | 3485 W 5200, Ogden Clinic Grand View, Roy, UT 84067-9438 |
| Amber D Whitear | Obstetrics/gynecology | Ogden Clinic PC | 5495 S 500 E, Suite 350, Ogden, UT 84405-7411 |
| Chad W Tingey | Dermatology | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Kurtis Alden Woolf | Family Medicine | Ogden Clinic PC | 991 Shepard Land, Suite 210, Farmington, UT 84025 |
| Kevin G Walker | Podiatry | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Street Address |
991 SHEPARD LAND SUITE 210 |
| City | FARMINGTON |
| State | UT |
| Zip | 84025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurtis Alden Woolf | Family Medicine | Ogden Clinic PC | 991 Shepard Land, Suite 210, Farmington, UT 84025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Ivy Grant | Clinical Social Worker | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Steven Dale Lancaster | Clinical Social Worker | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Jennifer Stanton Hatch | Psychologist, Clinical | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Cody Harris | Clinical Social Worker | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Jessica Jewell | Clinical Psychologist | University of Utah Behavioral Health Services | 291 S 200, Farmington, UT 84025-2419 |
| Sidney D Hendricks | Chiropractic | 352 S 200, Suite 2, Farmington, UT 84025-2423 | |
| Melissa A Itaaehau | Physical Therapy | Wasatch Therapy Inc | 42 N 650, Suite A, Farmington, UT 84025-2603 |
| Robyn M Judd | Physical Therapy | Wasatch Therapy Inc | 42 N 650, Suite A, Farmington, UT 84025-2603 |
| Madison Mackenzie Golden | Physical Therapy | Wasatch Therapy Inc | 42 N 650, Suite A, Farmington, UT 84025-2603 |
| Robert Drenning | Physical Therapy | Wasatch Therapy Inc | 42 N 650, Suite A, Farmington, UT 84025-2603 |
| Find all physicians in zip 84025 | |||
| City | FARMINGTON |
| Zip Code | 84025 |
| Specialty | PODIATRY |
| City + Specialty | FARMINGTON + PODIATRY |
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| 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.