Bruce A O'Very, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

372602-1205 Issued in UT

Practice address

1325 N 600 E
Ste 101
Logan, UT 84341

Phone

(435) 750-5599

Fax

(435) 750-0861

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bruce A O Very Other name

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

Specialty

Pediatric MedicineAlso: Internal Medicine

Education

University of Utah School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treehouse Acorn Pediatrics and Family CareGroup PAC ID 7315343738, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: treehouseacornpediatricsandfamilycare.bruceo'very@153989.advancedmd-direct.com

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.

• Treehouse Acorn Pediatrics & Family Care

  • Pediatrics Physician
  • Logan, UT
  • NPI 1619553864

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cache Valley Ear Nose & Throat, PLLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • North Logan, UT
  • NPI 1548303795
  NPD (past)

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

• Ihc Health Services Inc

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1225047996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N 600 E STE 101",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416743",
            "telephone_number": "435-213-3970",
            "fax_number": "435-355-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N 600 E",
            "address_2": "STE 101",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-750-5599",
            "fax_number": "435-750-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'VERY",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "372602-1205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "372602-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "O VERY",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northern Utah Surgicenter, LLC
• Northern Valley Family Medicine
• Northland Hearing Centers Inc
• Haylee Schultz Nunez
• Sage Nyman, PA
• Genessa Oak, OTR/L
• Margaret Oak, LMFT
• John Dennis Odell, MD
• Megan Oka, PH.D., LMFT
• Katelyn W Oliver, CSW

• Pediatrics Physician in Logan, UT
• Providers in Logan, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.