Bridge Medical Consulting

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRIDGE MEDICAL CONSULTING

Practice address

4501 S Hawarden Dr
West Valley, UT 84119-5763

Phone

(801) 520-1007

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Mary D Scott

Title

Office Manager

Phone

(801) 647-8888

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael O Isom

  • General Practice Registered Nurse
  • West Valley City, UT
  • NPI 1780543876

  Multi-Specialty

  NPD (past)
• Cameron Glade Peterson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Logan, UT
  • NPI 1164604765
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1194076398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S HAWARDEN DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841195763",
            "telephone_number": "801-520-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S HAWARDEN DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841195763",
            "telephone_number": "801-520-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE MEDICAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-647-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kay Bohn, CNA
• Sierra Bolles, PA-C
• Beata Borka
• Braden Partners LP
• Tessa Margaret Braley, PT, DPT
• Brighter Wins ABA of Ut LLC
• Thomas Austen Broadbent, DMD
• Scott Lee Broschinsky, RPH
• Brady James Brown, PHARMD
• Christine Cain

• Family Medicine Physician in West Valley, UT
• Providers in West Valley, 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 10, 2012; 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.