NPIMap

Organization Active NPI

Brigham Young University

  • Student in an Organized Health Care Education/Training Program
  • Provo, UT
National Provider Identifier
1215027099
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
BRIGHAM YOUNG UNIVERSITY
Practice address
1130 SFH Sports Med
Provo, UT 84602
Phone
(801) 377-6918
Fax
(801) 377-6919
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael King
Title
Associate Athletic Director/Control
Phone
(801) 422-2098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X UT Primary

Addresses

Primary practice location

1130 SFH Sports Med
Provo, UT 84602

Mailing address

1130 SFH Sports Med
Provo, UT 84602
Phone (801) 377-6918

National Provider Directory

National Provider Directory
Tax ID family
Brigham Young University7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215027099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SFH SPORTS MED",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84602",
            "telephone_number": "801-377-6918",
            "fax_number": "801-377-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SFH SPORTS MED",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84602",
            "telephone_number": "801-377-6918",
            "fax_number": "801-377-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM YOUNG UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSOCIATE ATHLETIC DIRECTOR/CONTROL",
        "authorized_official_telephone_number": "801-422-2098"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.