Bryan Bartholomew DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200632448 Issued in UT

Legal business name

BRYAN BARTHOLOMEW DO PC

Practice address

520 Medical Dr
Suite 200
Bountiful, UT 84010-4968

Phone

(801) 294-9333

Fax

(801) 299-7811

NPI assigned

Nov 10, 2006

Last updated

Aug 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Bartholomew, D.O.

Title

President

Phone

(801) 294-9333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1023189362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "address_2": "SUITE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104968",
            "telephone_number": "801-294-9333",
            "fax_number": "801-299-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "address_2": "SUITE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104968",
            "telephone_number": "801-294-9333",
            "fax_number": "801-299-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN BARTHOLOMEW DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-294-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "200632448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529313669001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Brown
• Megan A Brown
• Riley Brown
• Nicholas Benjamin Browning, C.S.W
• Stacey Bateman Browning, MOT, OTR/L
• Isabel Bryson
• Klementina Tina Buchheister, PT
• Kaymee Buell
• David Buhler, PA-C
• Cassidy Bull, MS

• Internal Medicine Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.