Active NPI
Brandon Balderston
- Family Medicine Physician
- Magna, UT
National Provider Identifier
1427743541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14281259-1204
- Practice address
- 3665 S 8400 W
Magna, UT 84044-4907 - Phone
- (801) 250-9638
- Fax
- (801) 250-3204
- NPI assigned
- Apr 5, 2023
- Last updated
- Jul 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14281259-1204 | UT | Primary |
Addresses
Primary practice location
3665 S 8400 W
Magna, UT 84044-4907
Mailing address
3665 S 8400 W Ste 110
Magna, UT 84044-4907
Phone (801) 250-9638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230908002111 | TN | Order and Referring Only - Family Practice | 1951765932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1427743541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 S 8400 W STE 110",
"city": "MAGNA",
"state": "UT",
"postal_code": "840444907",
"telephone_number": "801-250-9638",
"fax_number": "801-250-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 S 8400 W",
"city": "MAGNA",
"state": "UT",
"postal_code": "840444907",
"telephone_number": "801-250-9638",
"fax_number": "801-250-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDERSTON",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-05",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "14281259-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.