Brevan B Baugh, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

7730185-7100 Issued in UT

Practice address

565 W 465 N
Suite 150
Providence, UT 84332-4801

Phone

(435) 213-3029

Fax

(435) 213-9591

NPI assigned

Dec 7, 2010

Last updated

Oct 13, 2014By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Naturopathic Medical, P.C.

  • Naturopath
  • Providence, UT
  • NPI 1558751438
  Authorized official Same address or phone

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1134422538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W 465 N",
            "address_2": "SUITE 150",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324801",
            "telephone_number": "435-213-3029",
            "fax_number": "435-213-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W 465 N",
            "address_2": "SUITE 150",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324801",
            "telephone_number": "435-213-3029",
            "fax_number": "435-213-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "BREVAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-07",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "UT",
            "license": "7730185-7100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back at Work of Utah LLC
• Katie Ball, CSW
• Heather Ballingham
• Ethan Bates, RBT
• Roxene Bates, LAC, DIPL OM
• Bear Lake Community Health Center, Inc. (Cache Valley Community Health Center - Providence)
• Rebekah Jane Bednar, RBT
• Troy Benallie
• Lars Bergeson, M.D.
• Lyndsey Bergsjo, RBT

• Naturopath in Providence, UT
• Providers in Providence, UT by specialty
• Naturopath in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.