Organization Active NPI

Brigham City Orthopedic LLC

  • Orthopaedic Surgery Physician
  • Brigham City, UT
National Provider Identifier
1033201124
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BRIGHAM CITY ORTHOPEDIC LLC
Practice address
990 South Medical Drive
Suite G5
Brigham City, UT 84302
Phone
(435) 734-2151
Fax
(435) 734-2151
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Michael H Sumko, D.O.NPI 1609987270
Title
Physician
Phone
(435) 734-2151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

990 South Medical Drive
Suite G5
Brigham City, UT 84302

Mailing address

990 South Medical Drive
Suite G5
Brigham City, UT 84302
Phone (435) 734-2151

National Provider Directory

National Provider Directory

Locations

990 S 500 W
Ste 5
Brigham City, UT 84302
Phone (435) 734-2151

990 Medical Dr
Ste G5
Brigham City, UT 84302
Phone (435) 734-2151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033201124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SOUTH MEDICAL DRIVE",
            "address_2": "SUITE G5",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "84302",
            "telephone_number": "435-734-2151",
            "fax_number": "435-734-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH MEDICAL DRIVE",
            "address_2": "SUITE G5",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "84302",
            "telephone_number": "435-734-2151",
            "fax_number": "435-734-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM CITY ORTHOPEDIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SUMKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "435-734-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.