Individual provider Active NPI

R Pepper Murray, M.D.

  • Orthopaedic Surgery Physician
  • Bountiful, UT
National Provider Identifier
1306987144
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
91184820-1205 Issued in UT
Practice address
1551 Renaissance Towne Dr
Ste. 400
Bountiful, UT 84010-7667
Phone
(801) 295-7200
Fax
(801) 295-4930
NPI assigned
Feb 12, 2007
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 91184820-1205 UT Primary

Addresses

Primary practice location

1551 Renaissance Towne Dr
Ste. 400
Bountiful, UT 84010-7667

Mailing address

1551 Renaissance Towne Dr
Ste. 400
Bountiful, UT 84010-7667
Phone (801) 295-7200

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
I20041124000564 UT Practitioner - Orthopedic Surgery 0749245124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Orthopaedics LLCGroup PAC ID 7113282179, 26 clinicians

Practice addresses (Care Compare)

1551 Renaissance Towne Dr
Suite 500
Bountiful, UT 84010-7678
Phone (801) 295-7200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91184820-1205UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Orthopaedics LLC Orthopaedic Surgery CurrentSince Dec 16, 2022 Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 400
Bountiful, UT 84010
Phone (801) 294-7246

1551 Renaissance Towne Dr
Ste 500
Bountiful, UT 84010

201 W Layton Pkwy
Ste 400
Layton, UT 84041
Phone 8012957200116

Interoperability endpoints

  • Direct secure messaging: r.murray.1@27251.direct.athenahealth.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.

Hospital & facility affiliations 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1306987144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "STE. 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "STE. 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "R",
        "middle_name": "PEPPER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "91184820-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.