Individual provider Active NPI

Alberto Antonio Brizolara, M.D.

  • Interventional Cardiology Physician
  • St George, UT
National Provider Identifier
1164488961
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
572195-1205 Issued in UT
Practice address
1380 E Medical Center Dr
St George, UT 84790-2123
Phone
(435) 251-2500
Fax
(435) 251-2525
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 572195-1205 UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr
St George, UT 84790-2123

Mailing address

1380 E Medical Center Dr
St George, UT 84790-2123
Phone (435) 251-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031125000342 UT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5193629780 Reassigns benefits to 3 organizations
I20240709004677 NV Practitioner - Interventional Cardiology 5193629780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1301 Bertha Howe Ave
Suite 6
Mesquite, NV 89027-7503
Phone (435) 251-2500

1303 N Main St
Cedar City, UT 84721-9746

1380 E Medical Ctr Dr
St George, UT 84790-2123

1380 E Medical Ctr Dr
Suite 1400
St George, UT 84790-2127
Phone (435) 251-2600

1380 E Medical Ctr Dr
Suite 1500
St George, UT 84790-2128
Phone (435) 251-2500

1380 E Medical Ctr Dr
Suite 2600
St George, UT 84790-2134
Phone (435) 251-2700

1739 W Sunset Blvd
St George, UT 84770-7141
Phone (435) 634-6000

2650 N Tenaya Way
Suite 201
Las Vegas, NV 89128-1110
Phone (702) 736-7154

36 S State St
Salt Lake City, UT 84111-1401
Phone (801) 442-1531

577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6200

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

75 N 2260
Hurricane, UT 84737-2034
Phone (435) 251-2650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting49
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
572195-1205UTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 15, 2008 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 1, 2009 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 26, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Garfield County Current Accepting new patients
Garfield County CurrentSince Apr 19, 2014 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 15, 2008 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Snow Canyon Clinic, Inc. PastSince Sep 1, 2005 Accepting new patients

Locations

2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154

1301 Bertha Howe Ave
Ste 6
Mesquite, NV 89027
Phone (435) 900-6001

786 W Pioneer Blvd
Ste A
Mesquite, NV 89027
Phone (435) 251-2500

110 W 1325 N
Ste 200
Cedar City, UT 84721
Phone (435) 586-7676

110 W 1325 N
Ste 100
Cedar City, UT 84721
Phone (435) 251-2500

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1380 E Medical Center Dr
Ste 1500
St George, UT 84790
Phone (435) 251-2500

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

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1164488961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-2500",
            "fax_number": "435-251-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-2500",
            "fax_number": "435-251-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZOLARA",
        "first_name": "ALBERTO",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "572195-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.