Individual provider Active NPI

Bryce Hougaard, DC

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1285728899
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
176437-1202 Issued in UT
Practice address
1068 W South Jordan Pkwy
South Jordan, UT 84095-8882
Phone
(801) 523-8700
Fax
(801) 523-8191
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 176437-1202 UT Primary

Addresses

Primary practice location

1068 W South Jordan Pkwy
South Jordan, UT 84095-8882

Mailing address

PO Box 5
Millville, UT 84326-0005
Phone (435) 232-4279

Other identifiers 1

IdentifierTypeStateIssuer
68-0533648OtherUTTAX ID # FOR PRACTICE

Other names 1

  • Dr. Bryce Hougaard Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
176437-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Chiropractic Chiropractor Past Accepting new patients
Peterson Chiropractic Inc Chiropractor PastSince Aug 12, 1991 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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1285728899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "MILLVILLE",
            "state": "UT",
            "postal_code": "843260005",
            "telephone_number": "435-232-4279",
            "fax_number": "888-668-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 W SOUTH JORDAN PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958882",
            "telephone_number": "801-523-8700",
            "fax_number": "801-523-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGAARD",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "176437-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID # FOR PRACTICE",
            "identifier": "68-0533648",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYCE",
            "last_name": "HOUGAARD",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.