Organization Active NPI

Patricia Bearnson MD PC

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
National Provider Identifier
1194969493
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
173454-1205 Issued in UT
Legal business name
PATRICIA BEARNSON MD PC
Practice address
4465 S 900 E Ste 275
Salt Lake City, UT 84124-2469
Phone
(801) 878-7103
Fax
(801) 272-6101
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Patricia Bearnson, MD
Title
Owner
Phone
(801) 272-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 173454-1205 UT Primary

Addresses

Primary practice location

4465 S 900 E Ste 275
Salt Lake City, UT 84124-2469

Mailing address

4465 S 900 E Ste 275
Salt Lake City, UT 84124-2469
Phone (801) 272-6100

National Provider Directory

National Provider Directory

Locations

1434 E 4500 S
Ste 102
Millcreek, UT 84117
Phone (801) 272-6100

4465 S 900 E
Ste 275
Salt Lake City, UT 84124
Phone (801) 272-6100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1194969493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242469",
            "telephone_number": "801-272-6100",
            "fax_number": "801-272-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242469",
            "telephone_number": "801-878-7103",
            "fax_number": "801-272-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA BEARNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "BEARNSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-272-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "173454-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.