Individual provider Active NPI

Brian K Zehnder, MD

  • Family Medicine Physician
  • Magna, UT
National Provider Identifier
1447278023
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
182731-1205 Issued in UT
Practice address
3665 S 8400 W
Suite 110
Magna, UT 84044-4907
Phone
(801) 250-9638
Fax
(801) 250-3204
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 182731-1205 UT Primary

Addresses

Primary practice location

3665 S 8400 W
Suite 110
Magna, UT 84044-4907

Mailing address

3665 S 8400 W
Suite 110
Magna, UT 84044-4907
Phone (801) 250-9638

Other identifiers 1

IdentifierTypeStateIssuer
10103MedicaidUT

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
I20031222000859 UT Practitioner - Family Practice 3779497383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exodus Healthcare Network PLLCGroup PAC ID 1456265057, 25 clinicians

Practice addresses (Care Compare)

3665 S 8400
Magna, UT 84044-4907

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions21
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Healthcare Network PLLC Current Accepting new patients

Locations

3336 S Pioneer Pkwy
Ste 201
West Valley City, UT 84120
Phone (801) 313-0555

Interoperability endpoints

  • Direct secure messaging: brian.zehnder.1@11893.direct.athenahealth.com
  • Direct secure messaging: brian.zehnder.1@17164.direct.athenahealth.com

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 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1447278023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W",
            "address_2": "SUITE 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",
            "address_2": "SUITE 110",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444907",
            "telephone_number": "801-250-9638",
            "fax_number": "801-250-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHNDER",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "182731-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10103",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magna, UT

Sources for this page

Verify at the official NPI Registry.