Anthony Wayne Bacon, M.D.
Individual provider Active NPI Trauma Surgery Physician · Murray, UT
NPI 1154611986 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1154611986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Trauma Surgery Physician 2086S0127X
- License
- 11275378-1205 (UT)
- Practice address
- 5169 S Cottonwood St Ste 400
Murray, UT 84107-6769 - Phone
- (801) 507-3460
- NPI assigned
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Arkansas College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-4384
Hospital & facility affiliations
- Intermountain Medical Center
- Intermountain Health Riverton Hospital
- Intermountain Health Alta View Hospital
- Park City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190605000578 | UT | Practitioner - General Surgery | 4385957166 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11275378-1205 | UT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Surgery | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Acuity Care Services | Current |
Accepting new patients | |
| University of Utah Acuity Care Services | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003
5169 S Cottonwood St
Ste 400
Salt Lake City, UT 84107
Phone (801) 507-3460
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 11275378-1205 | UT | |
| Trauma Surgery Physician | 2086S0127X | 11275378-1205 | UT | Yes |
| Surgery Physician | 208600000X | 11275378-1205 | UT |
Addresses
Primary practice location
5169 S Cottonwood St Ste 400
Murray, UT 84107-6769
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-3460
Other practice location 1
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 442-2000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Murray, UT
- Axis in-Home, Inc.
- Annie Irene Aziri
- Catherine J Babcook
- Brittney Backman
- Courtney Backman
- Stephen Badger
- Joshua Baer
- Shawn Errol Bagci
- Deepika Bagga
- Alexis Eileen Bagley
All providers in Murray, UT · Trauma Surgery Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.