David P. Lewis, M.D. PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1713361205 Issued in UT

Practice address

990 South Medical Dr
Suite G3
Brigham City, UT 84302-3077

Phone

(435) 734-2097

Fax

(435) 734-0532

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1487653218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SOUTH MEDICAL DR",
            "address_2": "SUITE G3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023077",
            "telephone_number": "435-734-2097",
            "fax_number": "435-734-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH MEDICAL DR",
            "address_2": "SUITE G3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023077",
            "telephone_number": "435-734-2097",
            "fax_number": "435-734-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D. PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "171336-1205",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "1713361205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003026200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cierra Lemon
• Raquel Lemos
• Maddilyn Leth
• Troy Leven
• April Ann Lewis
• Tiffanie Libert
• Haydee Liddell
• Dallin Liddle
• James A Liebelt, D.C.
• Life Elevated Physical Therapy

• Specialist in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.

Verify at the official NPI Registry.