Brian C Platt, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3302821206 Issued in UT

Practice address

2230 N University Pkwy
Suite 1a
Provo, UT 84604-1509

Phone

(801) 377-3413

Fax

(801) 655-1890

NPI assigned

Sep 29, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Cottontree Family Practice

  • Family Medicine Physician
  • Provo, UT
  • NPI 1407036189
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1114914736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY",
            "address_2": "SUITE 1A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041509",
            "telephone_number": "801-377-3413",
            "fax_number": "801-655-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY",
            "address_2": "SUITE 1A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041509",
            "telephone_number": "801-377-3413",
            "fax_number": "801-655-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "3302821206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaeleigh Pitcher, RBT
• Leah Pittman
• McKayla Leigh Pittman
• Kelsy Jean Pitts Trane
• Ana Victoria Pizarro Hernandez
• Christine Platt, NP
• McKay Platt, MD
• Alex Plein, P.T.A., B.S.
• Wendy J Plewe, M.S.W.
• Brittany Plombon

• Medical Physician Assistant in Provo, UT
• Providers in Provo, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.