Bryce Allan Lewis

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

UT011486901256 Issued in UT

Practice address

1113 Merrill Hall
Provo, UT 84602-8337

Phone

(801) 839-5288

NPI assigned

Aug 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1043040199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500A KMBL",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846024704",
            "telephone_number": "801-839-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MERRILL HALL",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846028337",
            "telephone_number": "801-839-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRYCE",
        "middle_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": "UT011486901256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mekenzie Leuk
• Jared Leung-Wo
• Christopher Ryan Lew, DO
• Elizabeth Lewin - Shepley, LCSW
• Amanda G Lewis, NP
• Dilan Archibald Lewis, ATC
• Erika Lewis, DNP FNP-C
• Eve Lewis
• Gina R Lewis, MD
• Heather Lewis, LSAC

• Student in an Organized Health Care Education/Training Program in Provo, UT
• Providers in Provo, UT by specialty
• Student in an Organized Health Care Education/Training Program in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.