Individual provider Active NPI

David Joel Breding, M.D.

  • Specialist
  • Sandy, UT
National Provider Identifier
1144367772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
891816451205 Issued in UT
Practice address
9844 S 1300 E
#335
Sandy, UT 84094-4673
Phone
(801) 571-8517
Fax
(801) 571-0137
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 891816451205 UT Primary

Addresses

Primary practice location

9844 S 1300 E
#335
Sandy, UT 84094-4673

Mailing address

9844 S 1300 E
#335
Sandy, UT 84094-4673
Phone (801) 571-8517

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
I20031125000814 UT Practitioner - Internal Medicine 9638073109 Practice locations: Sandy, UT

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9844 S 1300
Suite 335
Sandy, UT 84094-4690
Phone (801) 571-8517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
891816451205UTMDSpecialist

Hospital & facility affiliations 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144367772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E",
            "address_2": "#335",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944673",
            "telephone_number": "801-571-8517",
            "fax_number": "801-571-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E",
            "address_2": "#335",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944673",
            "telephone_number": "801-571-8517",
            "fax_number": "801-571-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDING",
        "first_name": "DAVID",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "891816451205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.