Active NPI
Brett Allen Nance, D.O.
- Family Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.059709
- Practice address
- 180 S 3Rd St
Suite 400
Belleville, IL 62220-1952 - Phone
- (618) 233-7880
- Fax
- (618) 222-4792
- NPI assigned
- Jun 13, 2011
- Last updated
- Mar 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.059709 | IL | Primary |
| Family Medicine Physician | 207Q00000X | 8570024-1204 | UT |
Addresses
Primary practice location
180 S 3Rd St
Suite 400
Belleville, IL 62220-1952
Mailing address
180 S 3Rd St
Suite 400
Belleville, IL 62220-1952
Phone (618) 233-7880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
412 N 200
Logan, UT 84321-4038
Phone (435) 713-2710
5373 S Green St
Murray, UT 84123-4680
Phone (801) 442-5271
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.059709 | IL | MD | Family Medicine Physician |
| 8570024-1204 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Utah Valley Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | 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
412 N 200 E
Logan, UT 84321
Phone (435) 713-2710
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
5373 S Green St
Salt Lake City, UT 84123
Phone (801) 442-2670
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
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
905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500
935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800
Organizations & group practices 7
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.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Family Medicine
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Emergency Medicine Physician
- Provo, UT
- NPI 1649204553
-
dba IMED Utah Heart PC Homestead
- Multi-Specialty Clinic/Center
- Park City, UT
- NPI 1063646917
-
dba Intermountain Orem WorkMed
- Preventive Medicine/Occupational Environmental Medicine Physician
- Orem, UT
- NPI 1760516629
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Bear River Valley Hospital
- General Acute Care Hospital
- Tremonton, UT
- NPI 1679582944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1144515610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 S 3RD ST",
"address_2": "SUITE 400",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201952",
"telephone_number": "618-233-7880",
"fax_number": "618-222-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S 3RD ST",
"address_2": "SUITE 400",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201952",
"telephone_number": "618-233-7880",
"fax_number": "618-222-4792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "BRETT",
"middle_name": "ALLEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.059709",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "8570024-1204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.