NPIMap

Individual provider Active NPI

Andrew Winn Bringhurst

  • Physician Assistant
  • Holladay, UT
National Provider Identifier
1215553151
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9385227-1206 Issued in UT
Practice address
3934 S 2300 E
Holladay, UT 84124-2848
Phone
(801) 849-8500
Fax
(801) 849-8502
NPI assigned
Jun 16, 2020
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 9385227-1206 UT Primary

Addresses

Primary practice location

3934 S 2300 E
Holladay, UT 84124-2848

Mailing address

10433 S Redwood Rd
South Jordan, UT 84095-8502
Phone (801) 260-1919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abringhurst201949@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218000851 UT Practitioner - Physician Assistant 4284044413 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tooele Clinic CorpGroup PAC ID 6800700873, 63 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

2055 N Main St
Tooele, UT 84074-9819
Phone (435) 943-3600

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tooele Clinic Corp Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
University of Utah Adult Services CurrentSince Mar 15, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Mar 15, 2025 Accepting new patients

Locations

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

2321 N 400 E
Ste 300
Tooele, UT 84074
Phone (435) 833-9180

Interoperability endpoints

  • Direct secure messaging: abringhurst201949@direct.med.utah.edu
  • Direct secure messaging: afterhoursmedical.andrewbringhurst@154036.advancedmd-direct.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1215553151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-260-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 S 2300 E",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841242848",
            "telephone_number": "801-849-8500",
            "fax_number": "801-849-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINGHURST",
        "first_name": "ANDREW",
        "middle_name": "WINN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9385227-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abringhurst201949@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.