Bryson J Hollingshead, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10138818-1204 Issued in UT

Practice address

736 S 900 E Ste 203
St George, UT 84790-7003

Phone

(435) 673-6131

Fax

(435) 673-8557

NPI assigned

Jun 19, 2014

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zion'S Way Home Health Home health agency, St. George, UT, CCN 467243
• Intermountain Health Home Health - St. George Home health agency, St George, UT, CCN 467033
• Advanced Home Health of St George Home health agency, St George, UT, CCN 467354
• Enhabit Home Health of Southern Utah Home health agency, St George, UT, CCN 467055
• Dixie Home Rehab Home health agency, St. George, UT, CCN 467236
• Dixie Hospice Care LLC Hospice, St. George, UT, CCN 461589
• Kane County Hospital Hospital, Kanab, UT, CCN 461309
• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: brysonhollingshead@cuccu.allscriptsdirect.net

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.

• Revere Health PC

  • Multi-Specialty Clinic/Center
  • Provo, UT
  • NPI 1093764805
  Medicare reassignment Care Compare group NPD
• Kane County Human Resource Special Service District

  • General Acute Care Hospital
  • Kanab, UT
  • NPI 1043380991
  Medicare reassignment NPD
• Kane County Human Resource Special Service District

  • Skilled Nursing Facility
  • Springville, UT
  • NPI 1063401750
  NPD
• Revere Health PC

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahc Home Health of St George LLC

  • Home Health Agency
  • St George, UT
  • NPI 1538677547
  Care Compare affiliation
• Dixie Home Rehab LLC

  • Home Health Agency
  • St George, UT
  • NPI 1982772109
  Care Compare affiliation
• Dixie Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Saint George, UT
  • NPI 1306141361
  Care Compare affiliation
• Eh Home Health of the West, LLC

  • Home Health Agency
  • St George, UT
  • NPI 1932588043
  Care Compare affiliation
• Ihc Health Services Inc

  • Home Health Agency
  • St George, UT
  • NPI 1932270246
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation
• Kane County Human Resource Special Service District

  • Family Medicine Physician
  • Kanab, UT
  • NPI 1215001037

  Hospital

  Care Compare affiliation
• Kane County Human Resource Special Service District

  • Critical Access Hospital
  • Kanab, UT
  • NPI 1740519370
  Care Compare affiliation
• Red Rock Healthcare, Inc.

  • Home Health Agency
  • St George, UT
  • NPI 1588930705
  Care Compare affiliation

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1124432992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S 900 E STE 203",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907003",
            "telephone_number": "435-673-6131",
            "fax_number": "435-673-8557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 E Mall Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847901954",
            "country_code": "US",
            "telephone_number": "435-673-6131",
            "fax_number": "435-673-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "BRYSON",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10138818-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "355 N Main St",
            "city": "Kanab",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847413260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emilee Holdaway
• Natalie Holden
• Lupita Ann Holiday
• Holistic Journey Counseling and Consulting, LLC
• Chad Stuart Holland
• Carolyn Hollingshead, LCSW
• David Scott Hollingshead, APRN
• Porter Hollngshead
• Hollystic Hideaway
• Kaira Faye Holm, LMT

• Family Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.
• 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.