Brian W Heaton MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

181028-1205 Issued in UT

Legal business name

BRIAN W HEATON MD PC

Practice address

4403 Harrison Blvd
Suite 4400
Ogden, UT 84403-3271

Phone

(801) 387-4550

Fax

(801) 387-4565

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian W Heaton, MDNPI 1245248236

Title

President

Phone

(807) 387-4550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Brian W Heaton Sr., MD PC

  • Urology Physician
  • Ogden, UT
  • NPI 1245248236
  Medicare reassignment NPD Authorized official
• Richard Dix Cloward, PA-C

  • Surgical Physician Assistant
  • Ogden, UT
  • NPI 1407074461
  Medicare reassignment

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1083886840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE 4400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "807-387-4550",
            "fax_number": "801-387-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE 4400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-4550",
            "fax_number": "801-387-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN W HEATON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "807-387-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "UT",
            "license": "181028-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528908750009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Bartruff
• Ashley Brewer
• Gina Brewer
• Laurel C Brewer, CCC-A
• Brian K Brzowski, M.D.,LLC
• Brice J. Williams, M.D., P.C.
• Mark R Bridge, RPH
• Tayler Briggs
• McKenzie Bright, PA-C
• Brighter Ground Therapy PLLC

• Urology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Urology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.