Brenten C Pugh, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRENTEN C PUGH, MD

Doing business as

Jordan Landing Clinic

Practice address

3895 W 7800 S Ste 100
West Jordan, UT 84088-5616

Phone

(801) 280-7774

Fax

(801) 280-7774

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Brenten C Pugh, MDNPI 1891742508

Title

Ceo

Phone

(801) 280-7774

Specialties & licenses 1

Addresses

Other names 1

• Jordan Landing Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenten Clark Pugh, M.D.

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1891742508
  NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1235158304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 W 7800 S STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885616",
            "telephone_number": "801-280-7774",
            "fax_number": "801-280-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 W 7800 S STE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885616",
            "telephone_number": "801-280-7774",
            "fax_number": "801-280-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTEN C PUGH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "BRENTEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-280-7774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Landing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genevieve Wright Bradley
• Sarah Bradley, ATC
• Jayne Marie Bradshaw, LMT
• Kylie Braze
• Regan Breeze
• Alvin Leon Brey, DC
• Brian L Johnson DMD PC (A Dental Touch)
• Brian R Peterson MD PC
• Bridgeway Health Advisors LLC
• Brightside Oral Surgery LLC

• Family Medicine Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.