Active NPI
Kim Alan Bateman, M.D.
- Family Medicine Physician
- Ephraim, UT
National Provider Identifier
1518153097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 158124-8905
- Practice address
- 111 N 460 E
Ephraim, UT 84627-1215 - Phone
- (435) 283-4730
- Fax
- (801) 892-0160
- NPI assigned
- Sep 19, 2007
- Last updated
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 158124-8905 | UT | Primary |
Addresses
Primary practice location
111 N 460 E
Ephraim, UT 84627-1215
Mailing address
111 N 460 E
Ephraim, UT 84627-1215
Phone (435) 283-4730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158124-8905 | UT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1518153097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N 460 E",
"city": "EPHRAIM",
"state": "UT",
"postal_code": "846271215",
"telephone_number": "435-283-4730",
"fax_number": "801-892-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 460 E",
"city": "EPHRAIM",
"state": "UT",
"postal_code": "846271215",
"telephone_number": "435-283-4730",
"fax_number": "801-892-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "KIM",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "158124-8905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephraim, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.