Brett Earl, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5110301 Issued in UT

Practice address

458 N 500 W
Bountiful, UT 84010-6948

Phone

(801) 296-8060

Fax

(801) 296-8050

NPI assigned

Mar 29, 2006

Last updated

Nov 18, 2013By 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 3

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

Practice roles

Locations

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.

• Denali Medical Center

  • General Practice Physician
  • Bountiful, UT
  • NPI 1932878279
  NPD Authorized official
• Brookview Pain Management Inc

  • Emergency Medicine Physician
  • Ogden, UT
  • NPI 1659640639
  NPD (past) Authorized official
• West Jordan Family Medicine, LLC

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1528203817
  NPD (past) Authorized official
• Community Memorial Hospital

  • Critical Access Hospital
  • Hicksville, OH
  • NPI 1730145392
  NPD (past)
• ER-Doc Inc

  • Emergency Medicine Physician
  • Sandusky, OH
  • NPI 1922092014
  NPD (past)
• Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
  • NPI 1104888536
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1568423564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106948",
            "telephone_number": "801-296-8060",
            "fax_number": "801-296-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106948",
            "telephone_number": "801-296-8060",
            "fax_number": "801-296-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "5110301-1205",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "UT",
            "license": "5110301-1205",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "5110301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4575",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Duncan, LMFT
• Madisson Taylor Durham
• Jane Elizabeth Durston-Hansen, LCSW
• Bethany Duvall, RBT
• Molly Murphy Dwyer
• Ebrainmd, LLC
• Edge Medical Services
• Tristan Edler
• Allan Curtis Edson, DO
• John C Edwards, M.D.

• General Practice Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.