Active NPI
Brian Jeremy Marcus, M.D.
- Vascular Neurology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 10269632-1205
- Practice address
- 175 N Medical Dr
Salt Lake City, UT 84132-3833 - Phone
- (801) 585-7575
- NPI assigned
- May 21, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-062800 | IL | |
| Neurology Physician | 2084N0400X | 125-062800 | IL | |
| Vascular Neurology Physician | 2084V0102X | 10269632-1205 | UT | Primary |
Addresses
Primary practice location
175 N Medical Dr
Salt Lake City, UT 84132-3833
Mailing address
175 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 585-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, IL, AL, AZ, PA, TX, LA, MT, SD, SC, WI, MN, IA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 14
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Medical College of Wisconsin, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Indian Land, SC 29707
Phone (972) 449-0540
Mountain BRK, AL 35223
Phone (972) 449-0540
Chancellor, SD 57015
Phone (972) 449-0540
Arlington, TX 76005
Phone (972) 449-0540
Spring, TX 77382
Phone (972) 449-0540
San Antonio, TX 78255
Phone (972) 449-0540
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (972) 449-0540
1000 4TH St SW
Mason City, IA 50401-2800
Phone (972) 449-0540
1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (972) 449-0540
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (972) 449-0540
112 E 5TH Ave
Antigo, WI 54409-2710
Phone (972) 449-0540
1120 Pine St
Stanley, WI 54768-1297
Phone (972) 449-0540
11801 S Fwy
Burleson, TX 76028-7021
Phone (972) 449-0540
135 S Gibson St
Medford, WI 54451-1622
Phone (972) 449-0540
1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3400
201 Hospital Rd
Eagle River, WI 54521-8835
Phone (972) 449-0540
240 Maple St
Woodruff, WI 54568-9190
Phone (972) 449-0540
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone (972) 449-0540
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (972) 449-0540
300 S Bruce St
Marshall, MN 56258-1934
Phone (972) 449-0540
301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (972) 449-0540
305 S State St
Aberdeen, SD 57401-4527
Phone (972) 449-0540
3201 1St St
Emmetsburg, IA 50536-2516
Phone (972) 449-0540
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (972) 449-0540
3400 E Racine St
Janesville, WI 53546-2344
Phone (972) 449-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-062800 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Ap US 14, PA | Internal Medicine | Current | Accepting new patients |
| Access Telecare California, P.C. | Family Medicine | Past | Accepting new patients |
| St. Vincent Hospital | Family Medicine | Past | Accepting new patients |
Locations
600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AL, AZ, IA, IL, LA, MN, MT, PA, SC, SD, WI
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Family Medicine
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
Family Medicine
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386080935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-585-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841323833",
"telephone_number": "801-585-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "BRIAN",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-062800",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "125-062800",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "UT",
"license": "10269632-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.