Individual provider Active NPI

Brian A Vernon, MD

  • Orthopaedic Surgery of the Spine Physician
  • Providence, UT
National Provider Identifier
1265639280
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
8591609-1205 Issued in UT
Practice address
595 W 465 N
Providence, UT 84332
Phone
(385) 238-3900
Fax
(385) 238-3901
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 8591609-1205 UT
Orthopaedic Surgery of the Spine Physician 207XS0117X 8591609-1205 UT Primary

Addresses

Primary practice location

595 W 465 N
Providence, UT 84332

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500

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
I20130724000728 UT Practitioner - Orthopedic Surgery 8022267210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

595 W 465
Providence, UT 84332-8002
Phone (385) 238-3900

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Murray, UT, CCN 467100
  • Community Nursing Services Home health agency, West Valley City, UT, CCN 467001
  • Cache Valley Hospital Hospital, North Logan, UT, CCN 460054
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Franklin County Medical Center Hospital, Preston, ID, CCN 131322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion62
Laminectomy or laminotomy (partial removal of spine bones)29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8591609-1205UTMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic PC Family Medicine Current Accepting new patients
Vernon Medical PLLC CurrentSince Aug 4, 2019 Accepting new patients
Ogden Clinic Specialty Services LLC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
North Suburban Urology of Coon Rapids, Inc. Past Accepting new patients
Tillges Certified Orthotic Prosthetic, Inc. PastSince Jan 19, 2025 Accepting new patients

Locations

970 Medical Dr
Ste 309
Brigham City, UT 84302
Phone (385) 238-3375

1041 S Medical Dr
Ste 202
Brigham City, UT 84302
Phone (385) 238-3375

630 E 1400 N
Ste 118
Logan, UT 84341
Phone (435) 787-8146

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

595 W 465 N
Providence, UT 84332
Phone (385) 238-3900

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

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 5

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 5

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1265639280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3500",
            "fax_number": "801-475-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W 465 N",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "84332",
            "telephone_number": "385-238-3900",
            "fax_number": "385-238-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "8591609-1205",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "UT",
            "license": "8591609-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.