BRC Wellness LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BRC WELLNESS LLC

Practice address

4911 S 900 E Ste B
Salt Lake City, UT 84117-5747

Phone

(801) 676-9322

Fax

(801) 838-2100

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By 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

Jonathan SaulNPI 1346653417

Title

Executive Director

Phone

(801) 652-7339

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Saul, CMHC

  • Mental Health Counselor
  • Murray, UT
  • NPI 1346653417
  Authorized official Same address or phone

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1063013886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E FORT UNION BLVD STE 140",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471904",
            "telephone_number": "801-849-0453",
            "fax_number": "801-838-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 S 900 E STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175747",
            "telephone_number": "801-676-9322",
            "fax_number": "801-838-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-652-7339"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce E. Bray, MD
• Megan Bray
• Tyler Bray
• Adrian Brazell
• BRC Outpatient LLC
• Erika Maria Brcko
• William Max Brcko
• Kylie Dawn Brechlin
• Jacob Breecker
• Emily A Breen

• Substance Abuse Rehabilitation Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.