Jed R Bindrup MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

288635-1205 Issued in UT

Legal business name

JED R BINDRUP MD PC

Practice address

11762 S State St
Ste 260
Draper, UT 84020-7156

Phone

(801) 316-1313

Fax

(801) 316-1314

NPI assigned

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

Jed Reed Bindrup, MDNPI 1427038256

Title

Owner

Phone

(801) 316-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jed Reed Bindrup, MD

  • Plastic Surgery Physician
  • Draper, UT
  • NPI 1427038256
  Medicare reassignment Care Compare group NPD Authorized official
• Tausha Marie Jensen, APRN

  • Nurse Practitioner
  • Draper, UT
  • NPI 1225297542
  Medicare reassignment Care Compare group NPD
• Anastasia Cheval, FNP-C

  • Family Nurse Practitioner
  • Bellingham, WA
  • NPI 1609443233
  NPD
• John Michael Self, MD

  • Plastic Surgery Physician
  • Murray, UT
  • NPI 1912012287
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1407002553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "STE 260",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207156",
            "telephone_number": "801-316-1313",
            "fax_number": "801-316-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST",
            "address_2": "STE 260",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207156",
            "telephone_number": "801-316-1313",
            "fax_number": "801-316-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED R BINDRUP MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "BINDRUP",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-316-1313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "288635-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528231229000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Jager
• Sophia Jaimes
• Natalie James
• Dean E Jarman, DDS
• Jenna Jarrell
• Jeffrey T Arrington, MD PC (Endowest)
• Makayla Jeffries
• Jennifer F Robison PHD LLC
• Caitlin Jensen
• Daniel Ralph Jensen, RPH

• Specialist in Draper, UT
• Providers in Draper, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.