Individual provider Active NPI

Loren Kyle Gulbranson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint George, UT
National Provider Identifier
1124598198
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
11055189-1205 Issued in UT
Practice address
Dixie Regional Medical Center
515 South, 300 East
Saint George, UT 84770
Phone
(435) 251-1000
NPI assigned
Dec 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 11055189-1205 UT Primary

Addresses

Primary practice location

Dixie Regional Medical Center
515 South, 300 East
Saint George, UT 84770

Mailing address

51 Ave Des Jonquiles
Gatineau, QC 921
CA

Other names 1

  • Mr. Kyle Loren Gulbranson Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190329001873 UT Practitioner - Geriatric MedicinePractitioner - Internal Medicine 6901146992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6200

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • Dixie Home Rehab Home health agency, St. George, UT, CCN 467236
  • 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
  • Dixie Hospice Care LLC Hospice, St. George, UT, CCN 461589
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Mar 1, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince Mar 3, 2019 Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 3, 2019 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

515 S 300 E
St George, UT 84770
Phone (435) 688-4360

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

577 S River Rd
St George, UT 84790
Phone (435) 688-6000

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1124598198",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "51 AVE DES JONQUILES",
            "city": "GATINEAU",
            "state": "QC",
            "postal_code": "921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIXIE REGIONAL MEDICAL CENTER",
            "address_2": "515 SOUTH, 300 EAST",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-251-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULBRANSON",
        "first_name": "LOREN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "UT",
            "license": "11055189-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "GULBRANSON",
            "middle_name": "LOREN",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.