NPIMap

Organization Active NPI

Alpine Rehabilitation Consulting

  • Physical Medicine & Rehabilitation Physician
  • Cedar Hills, UT
National Provider Identifier
1124440789
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
7651257-1204 Issued in UT
Legal business name
ALPINE REHABILITATION CONSULTING
Practice address
4540 Landmark Cir
Cedar Hills, UT 84062-8617
Phone
(573) 808-5645
NPI assigned
Jan 15, 2014
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Jeffery T Berdan, DO
Title
Owner
Phone
(573) 808-5645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 7651257-1204 UT Primary

Addresses

Primary practice location

4540 Landmark Cir
Cedar Hills, UT 84062-8617

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1124440789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "801-294-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 LANDMARK CIR",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628617",
            "telephone_number": "573-808-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE REHABILITATION CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "BERDAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-808-5645",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "7651257-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hills, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.