Brigham City Arthritis Clinic PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

1695551205 Issued in UT

Legal business name

BRIGHAM CITY ARTHRITIS CLINIC PC

Practice address

984 South Medical Dr
Suite #3
Brigham City, UT 84302

Phone

(435) 723-5500

Fax

(435) 723-5507

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Harold Vonk, MD

Title

Physician

Phone

(435) 723-5500

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1235201526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 SOUTH MEDICAL DR",
            "address_2": "SUITE #3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "84302",
            "telephone_number": "435-723-5500",
            "fax_number": "435-723-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM CITY ARTHRITIS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "VONK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "435-723-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "UT",
            "license": "1695551205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118919100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485484678053",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806633400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Bray
• Joshua Breinholt
• Rhyana Brewer
• Elise Briggs
• Brigham Anesthesia, LLC
• Brigham City Chiropractic & Accident Rehabilitation
• Brigham City Community Hospital, Inc.
• Brigham City Corporation
• Brigham City Orthopedic Clinic PC
• Brigham City Orthopedic LLC

• Rheumatology Physician in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Rheumatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.