Individual provider Active NPI

Bretton Heather Newman, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1508861477
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4796206-1205 Issued in UT
Practice address
1552 Bryan Ave
Salt Lake City, UT 84105-2802
Phone
(801) 483-2923
Fax
(801) 483-3086
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4796206-1205 UT Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 4796206-1205 UT

Addresses

Primary practice location

1552 Bryan Ave
Salt Lake City, UT 84105-2802

Mailing address

1552 E Bryan Ave
Salt Lake City, UT 84105-2802
Phone (801) 483-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4796206-1205UTMDHospice and Palliative Medicine (Family Medicine) Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1508861477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 E BRYAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052802",
            "telephone_number": "801-483-2923",
            "fax_number": "801-483-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 BRYAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052802",
            "telephone_number": "801-483-2923",
            "fax_number": "801-483-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BRETTON",
        "middle_name": "HEATHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4796206-1205",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "UT",
            "license": "4796206-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.