Individual provider Active NPI

Brian Jeremy Marcus, M.D.

  • Vascular Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1386080935
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
10269632-1205 Issued in UT
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20180827003522 OR Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20211012003371 IL Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20230717001176 AL Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241104003047 AZ Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241108000841 PA Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241108003637 TX Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241108003679 LA Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241113001377 MT Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241113003256 SD Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241209002619 SC Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20241213003543 WI Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20250326001775 MN Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20250624000581 IA Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization
I20251126000312 KS Practitioner - Neurology 9638460744 Reassigns benefits to 1 organization

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
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

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

LicenseStateTypeSpecialty
125-062800ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Family Medicine Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Jul 30, 2018 Accepting new patients
Ap US 14, PA Internal Medicine CurrentSince Sep 7, 2025 Accepting new patients
Access Telecare California, P.C. Family Medicine PastSince Sep 18, 2023 Accepting new patients
St. Vincent Hospital Family Medicine PastSince Jul 14, 2024 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.

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

Verify at the official NPI Registry.