Richard Jack Pope, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

165029-1205 Issued in UT

Practice address

630 Medical Dr
Bountiful, UT 84010-4908

Phone

(801) 299-2200

Fax

(801) 296-6199

NPI assigned

Nov 10, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Rock Properties LLC

  • Radiologic Technologist
  • Salt Lake City, UT
  • NPI 1467606137
  NPD (past)
• Bountiful Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Bountiful, UT
  • NPI 1346393212
  NPD (past)
• Utah Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Farmington, UT
  • NPI 1629076229
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1053392613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N 200 W",
            "address_2": "SUITE 209",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107079",
            "telephone_number": "801-298-1300",
            "fax_number": "801-296-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MEDICAL DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104908",
            "telephone_number": "801-299-2200",
            "fax_number": "801-296-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "RICHARD",
        "middle_name": "JACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "165029-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06400",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL BENEFITS ADMINISTRATORS",
            "identifier": "351118",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300083845",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrie Pitts
• Tristan Kirk Pjevac
• Luke Plaizier, PT,DPT
• Miranda Virginia Poe
• Angelina Dianna Ponciano
• Hailey Poppe, PA-C
• Ryan Gary Porter, M.D.
• Maeby Post
• Avery Potter
• Ellie Poulsen

• Diagnostic Radiology Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Diagnostic Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.