Bahr Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BAHR DERMATOLOGY PC

Practice address

25 W 500 S
Bountiful, UT 84010-7126

Phone

(801) 298-1514

Fax

(801) 298-1841

NPI assigned

May 8, 2015

Last updated

Dec 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brooks A Bahr, MDNPI 1831326941

Title

Owner

Phone

(801) 298-1514

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooks Bahr, M.D.

  • Dermatology Physician
  • Bountiful, UT
  • NPI 1831326941
  Medicare reassignment Care Compare group Authorized official
• Shanna L. Acord, PA

  • Medical Physician Assistant
  • Tooele, UT
  • NPI 1134692981
  Medicare reassignment Care Compare group
• Anthony David Johnson

  • Dermatology Physician
  • Bountiful, UT
  • NPI 1396230116
  Medicare reassignment Care Compare group
• Joshuah Ivan Anderson, PA-S

  • Physician Assistant
  • Orem, UT
  • NPI 1396428348
  Medicare reassignment

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1144608266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W 500 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107126",
            "telephone_number": "801-298-1514",
            "fax_number": "801-298-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W 500 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107126",
            "telephone_number": "801-298-1514",
            "fax_number": "801-298-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHR DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-298-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "3735441205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Avena
• Celaya Capri Avila
• Axia International LLC (Life Health Centers)
• David L Badham, PAC
• Hayleigh Madison Bagnoud
• Brooks Bahr, M.D.
• Christian Kimball Bahr, D.D.S.
• Andrea Bailey, LCSW
• Madison Bailey
• Marlee Bair

• Dermatology Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.