Bountiful Family Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30835038904 Issued in UT

Legal business name

BOUNTIFUL FAMILY HEALTHCARE

Practice address

65 W 400 N Ste 200B
Bountiful, UT 84010-6475

Phone

(801) 298-3812

Fax

(877) 450-7813

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian J Rodgers, D.O.

Title

Owner

Phone

(801) 298-3812

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1174539142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W 400 N STE 200B",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106475",
            "telephone_number": "801-298-3812",
            "fax_number": "877-450-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W 400 N STE 200B",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106475",
            "telephone_number": "801-298-3812",
            "fax_number": "877-450-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-298-3812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "30835038904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476806920005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bountiful Care Center, LLC
• Bountiful Counseling
• Bountiful Dentistry
• Bountiful Diabetes Clinic LLC
• Bountiful Eye Care PC
• Bountiful Hearing Center, PLLC
• Bountiful Internal Medicine & Pulmonology Associates LLC
• Bountiful Medical Investors, LLC
• Bountiful Oral Surgery, P.C.
• Bountiful PDC PLLC

• Family Medicine Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.