Bryan Hainsworth, PA-C

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

6801881-1206 Issued in UT

Practice address

2850 N 2000 W # 203
Farr West, UT 84404-9219

Phone

(801) 689-3389

Fax

(801) 689-2320

NPI assigned

Dec 1, 2012

Last updated

May 16, 2019By the provider in NPPES

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

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peak Health and Wellness LLCGroup PAC ID 7719202498, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: bryan.hainsworth@809888751091716.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Health and Wellness, LLC

  • Primary Care Clinic/Center
  • Farr West, UT
  • NPI 1528460482
  Medicare reassignment Care Compare group Authorized official
• Integrated Pain Consultants, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1538612965

  UT

  Medicare reassignment

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1487999488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W # 203",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049219",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 2000 W # 203",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049219",
            "telephone_number": "801-689-3389",
            "fax_number": "801-689-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Heritage Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415622",
            "country_code": "US",
            "telephone_number": "801-889-1790",
            "fax_number": "801-689-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINSWORTH",
        "first_name": "BRYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-01",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "6801881-1206",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "UT",
            "license": "6801881-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K Funk, LCSW
• Heavenly Faith Garfield
• Tiffany Katherine Garza
• Breann Grant
• Lindsay Haas, PHARMD
• Benjamin Hyde Hale, D.M.D.
• Kiara Hamada
• Rishel Hartshorn
• Becky Lyn Heileson, PMHNP
• Colleen Henies

• Pain Medicine Physician in Farr West, UT
• Providers in Farr West, UT by specialty
• Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.