Vicki L Berger, P.A.
Individual provider Active NPI Medical Physician Assistant · Roy, UT
NPI 1306821079 · NPPES record last updated Sep 11, 2012
Key facts
- NPI
- 1306821079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 215310-1206 (UT)
- Practice address
- 5991 S 3500 W
Roy, UT 84067 - Phone
- (801) 773-8644
- Fax
- (801) 985-0486
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215310-1206 | UT | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 215310-1206 | UT | Yes |
Addresses
Primary practice location
5991 S 3500 W
Roy, UT 84067
Mailing address
2086 N 1700 W
Suite C
Layton, UT 84041
Phone (801) 773-8644
Other names
- Vicki L Bringhurst
Other providers in Roy, UT
- Beaver Valley Hospital
- Beaver Valley Hospital
- David J Beeston
- Mikayl Bell
- Joseph Trevor Berg
- Sarah Bettag
- Nicholas James Biggs
- Jordan Edwin Bigler
- Cory M Bingham
- Andrew Bjork
All providers in Roy, UT · Medical Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.