Brigham Lundahl, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

6763842-1202 Issued in UT

Practice address

358 W Saint George Blvd
St George, UT 84770-3352

Phone

(435) 628-3438

Fax

(435) 674-0399

NPI assigned

Feb 6, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1003055534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 W SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703352",
            "telephone_number": "435-272-7554",
            "fax_number": "435-674-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 W SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703352",
            "telephone_number": "435-628-3438",
            "fax_number": "435-674-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDAHL",
        "first_name": "BRIGHAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "6763842-1202",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "UT",
            "license": "6763842-1202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Layne Luekenga Jr., AU.D.
• Plamedie Lufuma
• Maritza Tellez Lujan
• Anna Luker
• Esdras Lumbala
• Matthew Bowler Lundin, PA-C
• Alyssa Lundquist
• Marynell Lorna Lundquist
• Bryan Chad Lunt, DO
• Chad C Lunt, M.D.

• Sports Physician Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Sports Physician Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.