Active NPI
Brian A Silva
- Physician Assistant
- Salt Lake City, UT
National Provider Identifier
1629639885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11861887-1206
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11861887-1206 | UT | MD | Physician Assistant |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.