Individual provider Active NPI

Gregory Lyman Condie, DO

  • Interventional Pain Medicine Physician
  • Murray, UT
National Provider Identifier
1255691986
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
10418147-1204 Issued in UT
Practice address
84 W 4800 S
Ste 101
Murray, UT 84107-3781
Phone
(801) 261-4988
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 10418147-1204 UT Primary

Addresses

Primary practice location

84 W 4800 S
Ste 101
Murray, UT 84107-3781

Mailing address

84 W 4800 S
Ste 101
Murray, UT 84107-3781
Phone (801) 224-8800

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
I20171116002477 UT Practitioner - Pain ManagementPractitioner - Internal Medicine 8325280001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspen Orthopedic Pain and Spine LLCGroup PAC ID 6608279583, 6 clinicians

Practice addresses (Care Compare)

1215 S 1680
Orem, UT 84058-4939
Phone (801) 224-8800

84 W 4800
Suite 101
Murray, UT 84107-3781
Phone (801) 224-8800

Hospital & facility affiliations

  • Aspen Ridge Home Health Home health agency, Murray, UT, CCN 467220
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10418147-1204UTMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upri Murray, L.L.C. CurrentSince Sep 1, 2022 Accepting new patients
Aspen Orthopedic Pain and Spine LLC Pain Medicine CurrentSince Apr 12, 2021 Accepting new patients

Locations

1215 S 1680 W
Orem, UT 84058
Phone (801) 224-8800

84 W 4800 S
Ste 101
Salt Lake City, UT 84107
Phone (801) 224-8800

32 W Winchester St
Ste 200
Salt Lake City, UT 84107
Phone (801) 281-0555

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 2

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255691986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 W 4800 S",
            "address_2": "STE 101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073781",
            "telephone_number": "801-224-8800",
            "fax_number": "801-262-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W 4800 S",
            "address_2": "STE 101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073781",
            "telephone_number": "801-261-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDIE",
        "first_name": "GREGORY",
        "middle_name": "LYMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2025-09-11",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "10418147-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.