Bryant J. Brown, M.D., a Professional Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1579931205 Issued in VI

Legal business name

BRYANT J. BROWN, M.D., A PROFESSIONAL CORPORATION

Practice address

3970 S 700 E
Suite 14
Salt Lake City, UT 84107-2191

Phone

(801) 261-3605

Fax

(801) 262-9142

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bryant J. Brown, M.D.NPI 1629038963

Title

Owner

Phone

(801) 261-3605

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryant J Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
  • NPI 1629038963
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1124261185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 S 700 E",
            "address_2": "SUITE 14",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072191",
            "telephone_number": "801-261-3605",
            "fax_number": "801-262-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 S 700 E",
            "address_2": "SUITE 14",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072191",
            "telephone_number": "801-261-3605",
            "fax_number": "801-262-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT J. BROWN, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-261-3605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VI",
            "license": "1579931205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528682716004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lynne Brussard, N.D.
• Amy Elizabeth Brutinel, CSW
• Laura Bruuning
• Matthew Thomas Bryan, M.D.
• Myranda Aryana Bryan
• Aaron Bruce Bryant, CSW, LSUDC
• Kaitlyn Bryant, MD
• Kristin Bryant
• Samantha Dupin Bryant
• Sarah Bryant

• Obstetrics & Gynecology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Obstetrics & Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.