Active NPI
Bruce Lee
- Substance Abuse Rehabilitation Facility
- Salt Lake City, UT
National Provider Identifier
1134518210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Practice address
- 344 E 100 S Ste 301
Salt Lake City, UT 84111-1727 - Phone
- (801) 322-4257
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
344 E 100 S Ste 301
Salt Lake City, UT 84111-1727
Mailing address
344 East 100 South Ste.301
SLC, UT 84111
Phone (801) 322-4257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2015.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1134518210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 EAST 100 SOUTH STE.301",
"city": "SLC",
"state": "UT",
"postal_code": "84111",
"telephone_number": "801-322-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 E 100 S STE 301",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111727",
"telephone_number": "801-322-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRUCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.