Organization Active NPI

Old Farm Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
National Provider Identifier
1407804248
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OLD FARM OBSTETRICS & GYNECOLOGY
Practice address
3970 S 700 E
Suite 14
Salt Lake City, UT 84107-2191
Phone
(801) 261-3975
Fax
(801) 265-8035
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Bryant J Brown, M.D.
Title
Physician Administrator
Phone
(801) 261-3975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X UT Primary

Addresses

Primary practice location

3970 S 700 E
Suite 14
Salt Lake City, UT 84107-2191

Mailing address

3970 S 700 E
Suite 14
Salt Lake City, UT 84107-2191
Phone (801) 261-3975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1407804248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 S 700 E",
            "address_2": "SUITE 14",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072191",
            "telephone_number": "801-261-3975",
            "fax_number": "801-265-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 S 700 E",
            "address_2": "SUITE 14",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072191",
            "telephone_number": "801-261-3975",
            "fax_number": "801-265-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD FARM OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN ADMINISTRATOR",
        "authorized_official_telephone_number": "801-261-3975",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": null,
            "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 Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.