Leo Berkenbile (NPI# 1518090760, PAC ID# 7911890504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1518090760 |
| PAC ID by PECOS | 7911890504 |
| Professional Enrollment ID | I20160429001279 |
| Full Name | Leo Berkenbile |
| Organization Legal Name | GRANGER MEDICAL CLINIC INC |
| Address |
3181 S 9000 West Jordan UT 84088 |
| Phone Number | 8013525900 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3476465691 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3181 S 9000, West Jordan, UT 84088 | 8013525900 | GRANGER MEDICAL CLINIC INC |
| 3725 W 4100, West Valley City, UT 84120-5530 | 8019653600 | GRANGER MEDICAL CLINIC INC |
| Organization Legal Name | GRANGER MEDICAL CLINIC INC |
| Physicians | 158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Eduardo Chavez | Obstetrics/gynecology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Ginette I Speed | Nurse Practitioner | Granger Medical Clinic Inc | 181 E 5600, Suite 130, Murray, UT 84107-6127 |
| Casey J Henich | Family Medicine | Granger Medical Clinic Inc | 3725 W 4100, West Valley City, UT 84120-5530 |
| Jared H Mathis | Physician Assistant | Granger Medical Clinic Inc | 2326 N 400 E, C203, Tooele, UT 84074-3408 |
| David George Dienhart | Internal Medicine | Granger Medical Clinic Inc | 71 E 1280, Tooele, UT 84074-8120 |
| Melisa S Steele | Nurse Practitioner | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Robert D Williams | Family Medicine | Granger Medical Clinic Inc | 1288 W 12700, Riverton, UT 84065-6794 |
| Ian R Cavin | General Surgery | Granger Medical Clinic Inc | 4252 S Highland Dr, Suite 200, Salt Lake City, UT 84124-2690 |
| Stephen B Devenport | Family Medicine | Granger Medical Clinic Inc | 12391 S 4000, Riverton, UT 84096-7012 |
| Edwin R England | Obstetrics/gynecology | Granger Medical Clinic Inc | 11724 S State St, Draper, UT 84020-7163 |
| Street Address |
3181 S 9000 |
| City | WEST JORDAN |
| State | UT |
| Zip | 84088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Eduardo Chavez | Obstetrics/gynecology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Ryan Leonard | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Brandon Allen | Family Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Edwin W Aldous | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon Aaron Christensen | Chiropractic | 3075 W 7800, West Jordan, UT 84088-2802 | |
| David R Hillam | Family Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Jenny Louise Mckay | Nurse Practitioner | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| William J Walsh | Internal Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Bryan D Gordon | Chiropractic | 2618 W 7800, Suite 200, West Jordan, UT 84088-4213 | |
| Elyse E Lake | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Frederic M Civish | Family Medicine | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Michelle M Dahle | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Jackie A Fonua | Physician Assistant | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| John T Nielsen | Nurse Practitioner | Hunter Medical Center Inc | 3354 W 7800, West Jordan, UT 84088-4506 |
| Find all physicians in zip 84088 | |||
| City | WEST JORDAN |
| Zip Code | 84088 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WEST JORDAN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Leo Berkenbile.
| 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.