Jeremy Glade Allred, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Provo, UT
NPI 1114728581 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1114728581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 475 W 940 N
Provo, UT 84604-3301 - Phone
- (801) 866-7497
- NPI assigned
- Mar 21, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
475 W 940 N
Provo, UT 84604-3301
Mailing address
475 W 940 N
Provo, UT 84604-3301
Phone (801) 866-7497
Other providers in Provo, UT
- Carl Dain Allred
- Corbin Lee Allred
- Emily Allred
- Hailey Grace Allred
- Jentrie Tessa Allred
- Tabatha Rose Allred
- Zachary Allen Allred
- Andressa Almeida Little
- Kaeokalei Alo
- Alpharad Inc
All providers in Provo, UT · Student in an Organized Health Care Education/Training Program in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.