Individual provider Active NPI

Brian A Silva

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1629639885
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11861887-1206 Issued in UT
Practice address
201 Presidents Cir
Salt Lake City, UT 84112-9049
Phone
(702) 370-3984
NPI assigned
Jun 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11861887-1206 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

201 Presidents Cir
Salt Lake City, UT 84112-9049

Mailing address

5632 Silver Leaf Cir
Mountain Green, UT 84050-5601
Phone (702) 370-3984

Other practice location 1

815 W Riverdale Rd
Riverdale, UT 84405-3716
Phone (801) 821-8662

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address BSILVA590583@DIRECT.MED.UTAH.EDU Direct University of Utah
Direct Messaging Address u6044896@utah.edu Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11861887-1206UTMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: bsilva590583@direct.med.utah.edu

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1629639885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 SILVER LEAF CIR",
            "city": "MOUNTAIN GREEN",
            "state": "UT",
            "postal_code": "840505601",
            "telephone_number": "702-370-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PRESIDENTS CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841129049",
            "telephone_number": "702-370-3984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 W Riverdale Rd",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "UT",
            "postal_code": "844053716",
            "country_code": "US",
            "telephone_number": "801-821-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "BRIAN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11861887-1206",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BSILVA590583@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "u6044896@utah.edu",
            "affiliation": "N",
            "endpointDescription": "UofU email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "work",
            "address_1": "201 Presidents Cir",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841129049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.