Individual provider Active NPI

John Bryant Alder, M.D.

  • Ophthalmology Physician
  • Murray, UT
National Provider Identifier
1508829144
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
290691-1205 Issued in UT
Practice address
6412 S 900 E
101
Murray, UT 84121-6048
Phone
(801) 262-3344
Fax
(801) 262-4967
NPI assigned
Apr 6, 2006
Last updated
Apr 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 290691-1205 UT Primary

Addresses

Primary practice location

6412 S 900 E
101
Murray, UT 84121-6048

Mailing address

6412 S 900 E
#101
Murray, UT 84121-6048
Phone (801) 262-3344

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
I20080219000569 UT Practitioner - Ophthalmology 5092899781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6412 S 900
Suite 101
Murray, UT 84121-6050
Phone (801) 262-3344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery279

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Ophthalmology Associates Inc Ophthalmology CurrentSince Jul 15, 1995 Accepting new patients

Locations

6412 S 900 E
Ste 101
Murray, UT 84121
Phone (801) 262-3344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1508829144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 S 900 E",
            "address_2": "#101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841216048",
            "telephone_number": "801-262-3344",
            "fax_number": "801-262-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 S 900 E",
            "address_2": "101",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841216048",
            "telephone_number": "801-262-3344",
            "fax_number": "801-262-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDER",
        "first_name": "JOHN",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "290691-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.