Individual provider Active NPI

Bailey Hallman, PHYSICIAN ASSISTANT

  • Physician Assistant
  • West Valley City, UT
National Provider Identifier
1457923815
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12462487-1206 Issued in UT
Practice address
3725 W 4100 S
West Valley City, UT 84120-5411
Phone
(888) 949-4864
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 12462487-1206 UT Primary

Addresses

Primary practice location

3725 W 4100 S
West Valley City, UT 84120-5411

Mailing address

12427 S Pasture Rd Ste 104
Riverton, UT 84096-4828
Phone (801) 727-8744

Other practice location 1

12427 S Pasture Rd Ste 104
Riverton, UT 84096-4828
Phone (801) 727-8744

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027002243 UT Practitioner - Physician Assistant 9234527003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 S 1000
Tooele, UT 84074-4010
Phone (435) 843-3520

4460 S Highland Dr
Salt Lake City, UT 84124-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12462487-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated CurrentSince Sep 1, 2021 Accepting new patients

Locations

12427 S Pasture Rd
Ste 104
Riverton, UT 84096
Phone (801) 273-6335

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

4460 S Highland Dr
Slc, UT 84124
Phone (801) 263-7101

3809 W 6200 S
Taylorsville, UT 84129
Phone (801) 963-4200

100 S 1000 W
Tooele, UT 84074
Phone (435) 843-3520

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1457923815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12427 S PASTURE RD STE 104",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840964828",
            "telephone_number": "801-727-8744",
            "fax_number": "801-727-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205411",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12427 S Pasture Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "UT",
            "postal_code": "840964828",
            "country_code": "US",
            "telephone_number": "801-727-8744",
            "fax_number": "801-727-8743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "BAILEY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12462487-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.