Individual provider Active NPI

Brianna Nguyen Le

  • Physician Assistant
  • Tooele, UT
National Provider Identifier
1205524923
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14242992-1206 Issued in UT
Practice address
30 S Tooele Blvd
Tooele, UT 84074-2093
Phone
(435) 248-0333
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14242992-1206 UT Primary

Addresses

Primary practice location

30 S Tooele Blvd
Tooele, UT 84074-2093

Mailing address

2293 W August Farms Cir
West Valley City, UT 84119-6044
Phone (801) 783-9834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529003703 UT Practitioner - Physician Assistant 0143790154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Green MD PLLCGroup PAC ID 6204000102, 8 clinicians

Practice addresses (Care Compare)

30 S Tooele Blvd
Tooele, UT 84074-2093
Phone (435) 248-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Green MD PLLC PastSince Apr 14, 2026 Accepting new patients
Patrick Green MD PLLC PastSince Apr 14, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1205524923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 W AUGUST FARMS CIR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841196044",
            "telephone_number": "801-783-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S TOOELE BLVD",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742093",
            "telephone_number": "435-248-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "BRIANNA",
        "middle_name": "NGUYEN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14242992-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.