Active NPI
Barrett Paul Labrum, D.O.
- Pediatrics Physician
- North Logan, UT
National Provider Identifier
1295996700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7980132-1204
- Practice address
- 2380 N 400 E
North Logan, UT 84341-1756 - Phone
- (435) 753-7337
- Fax
- (435) 750-6779
- NPI assigned
- Jun 18, 2008
- Last updated
- Dec 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7980132-1204 | UT | Primary |
Addresses
Primary practice location
2380 N 400 E
North Logan, UT 84341-1756
Mailing address
2631 Blackwalnut Drive
North Logan, UT 84341
Phone (435) 213-3710
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7980132-1204 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- primarycarepediatrics.barrettlabrumdo@111210.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- North Logan, UT
- NPI 1588969539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1295996700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 BLACKWALNUT DRIVE",
"city": "NORTH LOGAN",
"state": "UT",
"postal_code": "84341",
"telephone_number": "435-213-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 N 400 E",
"city": "NORTH LOGAN",
"state": "UT",
"postal_code": "843411756",
"telephone_number": "435-753-7337",
"fax_number": "435-750-6779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRUM",
"first_name": "BARRETT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "7980132-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Logan, UT
- Jon W Ahlstrom MD PC
- James Lewis Jones Jr., ACNP
- Pauline Margaret Jonsson, OTR/L
- Gina Gasser Jordan, FNP
- Nina G Jorgensen, M.D.
- Lifetech Consulting (Rex Alan Spendlove, Ms, PC)
- Logan Medical Group LLC (Cache Valley Endocrine & Family Medicine)
- Logan Oral Surgery
- Low T Clinic, LLC
- Gregg R Luke, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.