Individual provider Active NPI

Jed Reed Bindrup, MD

  • Plastic Surgery Physician
  • Draper, UT
National Provider Identifier
1427038256
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
952886351205 Issued in UT
Practice address
11762 So State St
Suite 260
Draper, UT 84020-7156
Phone
(801) 316-1313
Fax
(801) 316-1314
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 952886351205 UT Primary

Addresses

Primary practice location

11762 So State St
Suite 260
Draper, UT 84020-7156

Mailing address

11762 So State St
Suite 260
Draper, UT 84020-7156
Phone (801) 316-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000616 UT Practitioner - Plastic and Reconstructive Surgery 7113927591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Utah School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jed R Bindrup MD PCGroup PAC ID 0840365979, 2 clinicians

Practice addresses (Care Compare)

11762 S State St
Suite 260
Draper, UT 84020-7156
Phone (801) 316-1313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
952886351205UTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jed R Bindrup MD PC CurrentSince Jan 1, 1996 Accepting new patients
Ryan K Anderson D P M P C Past Accepting new patients

Locations

11762 S State St
Ste 260
Draper, UT 84020
Phone (801) 266-8671

Organizations & group practices 2

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 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1427038256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 SO STATE ST",
            "address_2": "SUITE 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 SO STATE ST",
            "address_2": "SUITE 260",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207156",
            "telephone_number": "801-316-1313",
            "fax_number": "801-316-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDRUP",
        "first_name": "JED",
        "middle_name": "REED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "952886351205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.