NPIMap

Individual provider Active NPI

Brian Luis Pando, MD

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1386105062
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13800185-1205 Issued in UT
Practice address
273 E 10TH Ave
Salt Lake City, UT 84103-2531
Phone
(801) 200-1050
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101285046 VA
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 13800185-1205 UT Primary

Addresses

Primary practice location

273 E 10TH Ave
Salt Lake City, UT 84103-2531

Mailing address

273 E 10TH Ave
Salt Lake City, UT 84103-2531
Phone (801) 200-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpando696301@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, UT, SC, VA, NC5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230919003021 GA Practitioner - Diagnostic Radiology 3971839598 Reassigns benefits to 1 organization
I20240717003317 UT Practitioner - Diagnostic Radiology 3971839598 Reassigns benefits to 6 organizations
I20250506001747 SC Practitioner - Diagnostic Radiology 3971839598 Reassigns benefits to 2 organizations
I20250506001976 VA Practitioner - Diagnostic Radiology 3971839598
I20250507000022 NC Practitioner - Diagnostic Radiology 3971839598 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians
Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians
Wake Pet Services LLCGroup PAC ID 4789084567, 6 clinicians
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

1 Snow Forest CV
Sandy, UT 84092-4311
Phone (434) 200-5047

11640 Northpark Dr
Suite 110
Wake Forest, NC 27587-5741
Phone (919) 781-1437

150 Pkwy Office CT
Suite 100
Cary, NC 27518-0002
Phone (919) 781-1437

2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Phone (843) 881-0100

210 Ashville Ave
Suite 120
Cary, NC 27518-6676
Phone (919) 350-6513

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387

6688 W Salt Marsh Rd
South Jordan, UT 84009-1966
Phone (434) 200-4139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Raleigh Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Jun 15, 2024 Accepting new patients
Centra Medical Group, LLC CurrentSince Apr 17, 2025 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Jun 15, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

35 Hospital Rd
#100
Blairsville, GA 30512

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

150 Parkway Office Ct
Ste 100
Cary, NC 27518

210 Ashville Ave
Ste 120
Cary, NC 27518
Phone (919) 350-6513

120 Banks Dr
Ste 110
Chapel Hill, NC 27514

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: bpando696301@direct.med.utah.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 12

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1386105062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 E 10TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032531",
            "telephone_number": "801-200-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E 10TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032531",
            "telephone_number": "801-200-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDO",
        "first_name": "BRIAN",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101285046",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "13800185-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpando696301@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.