Individual provider Active NPI

Kurt D Bangerter, MD

  • Neurological Surgery Physician
  • Ogden, UT
National Provider Identifier
1215948799
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
K6531 Issued in TX
Practice address
4403 Harrison Blvd
Ste 1815
Ogden, UT 84403-3339
Phone
(801) 732-5900
Fax
(801) 732-5988
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X K6531 TX Primary

Addresses

Primary practice location

4403 Harrison Blvd
Ste 1815
Ogden, UT 84403-3339

Mailing address

4403 Harrison Blvd
Ste 1815
Ogden, UT 84403-3339
Phone (801) 732-5900

Other identifiers 1

IdentifierTypeStateIssuer
U000074606OtherUTPTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000104 UT Practitioner - Neurosurgery 6002998929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Miami, LM Miller School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

4403 Harrison Blvd
Suite 1815
Ogden, UT 84403-3339
Phone (801) 732-5900

Hospital & facility affiliations

  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion83
Laminectomy or laminotomy (partial removal of spine bones)36
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Neurological Surgery CurrentSince Jan 1, 2021 Accepting new patients
Ogden Clinic PC Neurological Surgery CurrentSince Oct 1, 2019 Accepting new patients
Neurological Specialists of McKinney PLLC Neurological Surgery Past Accepting new patients
Claudia J McDonald MD PA Neurological Surgery Past Accepting new patients

Locations

1351 W 200 N
Kaysville, UT 84037
Phone (385) 209-2928

1916 N 700 W
Ste 250
Layton, UT 84041
Phone (801) 479-0312

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

4403 Harrison Blvd
Ste 1815
Ogden, UT 84403
Phone (801) 387-6520

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

4403 Harrison Blvd
Ste 1875
South Ogden, UT 84403
Phone (801) 387-2090

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1215948799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "STE 1815",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033339",
            "telephone_number": "801-732-5900",
            "fax_number": "801-732-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "STE 1815",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033339",
            "telephone_number": "801-732-5900",
            "fax_number": "801-732-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGERTER",
        "first_name": "KURT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "K6531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U000074606",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.