Perry T. Walters, M.D. PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PERRY T. WALTERS, M.D. PC

Practice address

425 Medical Drive #112
Bountiful, UT 84010

Phone

(801) 292-7249

Fax

(801) 292-7251

NPI assigned

Sep 14, 2010

Last updated

Sep 14, 2010By 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

Dr. Perry T. WaltersNPI 1790844165

Title

Owner

Phone

(801) 292-7249

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.

• Perry T Walters, MD

  • Urology Physician
  • Bountiful, UT
  • NPI 1790844165
  NPD (past) Authorized official

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1083922926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DRIVE #112",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-292-7249",
            "fax_number": "801-292-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MEDICAL DRIVE #112",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-292-7249",
            "fax_number": "801-292-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY T. WALTERS, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-292-7249",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Perez
• Performance West Physical Therapy
• Harold R. Pergler, MCD, FAAA, CCC-A
• McCall Perkes
• Marie Perkins, MA,LAT,ATC
• Krista Wilson Perry
• Ryan Perry, DPT
• Michelle Pesnell
• McKentri Petersen
• Bryce K Peterson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.