Individual provider Active NPI

Philip James Bryan, MSW, MS

  • Clinical Social Worker
  • West Jordan, UT
National Provider Identifier
1285268128
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11640386-3506 Issued in UT
Practice address
6783 S Redwood Rd Ste 103
West Jordan, UT 84084-5685
Phone
(801) 613-9843
NPI assigned
Mar 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11640386-3506 UT Primary

Addresses

Primary practice location

6783 S Redwood Rd Ste 103
West Jordan, UT 84084-5685

Mailing address

6783 S Redwood Rd Ste 103
West Jordan, UT 84084-5685
Phone (801) 613-9843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phil@altiumhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11640386-3506UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Altium Health LLC Clinical PastSince May 21, 2023 Accepting new patients
Second Nature Entrada LLC PastSince Mar 9, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1285268128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6783 S REDWOOD RD STE 103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845685",
            "telephone_number": "801-613-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 S REDWOOD RD STE 103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845685",
            "telephone_number": "801-613-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "PHILIP",
        "middle_name": "JAMES",
        "credential": "MSW, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-01",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11640386-3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phil@altiumhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6783 S Redwood Rd Ste 103",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840845685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.