NPIMap

Individual provider Active NPI

Lance R Bryce, MD

  • Surgery Physician
  • Brigham City, UT
National Provider Identifier
1639372840
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6979799-1205 Issued in UT
Practice address
984 Medical Dr
Suite 2
Brigham City, UT 84302-3604
Phone
(435) 723-0329
Fax
(435) 723-0429
NPI assigned
Jun 6, 2007
Last updated
Jan 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6979799-1205 UT Primary
Surgery Physician 208600000X 76323 AZ

Addresses

Primary practice location

984 Medical Dr
Suite 2
Brigham City, UT 84302-3604

Mailing address

984 Medical Dr
Suite 2
Brigham City, UT 84302-3604
Phone (435) 723-0329

Other identifiers 1

IdentifierTypeStateIssuer
1639372840MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200221001447 ID Practitioner - General Surgery 6800961640 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribou Medical Center, IncGroup PAC ID 7618365701, 35 clinicians
Franklin County Medical CenterGroup PAC ID 8820909104, 25 clinicians

Practice addresses (Care Compare)

300 S 3Rd
Soda Springs, ID 83276-1559
Phone 20854733417503

47 N 1St
Preston, ID 83263-1325
Phone (208) 852-2900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76323AZMDSurgery Physician
6979799-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Medical Center CurrentSince Mar 1, 2021 Accepting new patients
Franklin County Medical Center Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Caribou Medical Center, Inc CurrentSince Jan 27, 2025 Accepting new patients
Caribou Medical Center, Inc CurrentSince Jan 27, 2025 Accepting new patients
Franklin County Medical Center Past Accepting new patients
Mountainstar Canyon Surgical Clinic LLC Surgery Past Accepting new patients
Lance R Bryce Surgery PastSince Jul 1, 2008 Accepting new patients

Locations

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

47 N 1st E
Preston, ID 83263
Phone (208) 852-2900

64 N 1st E
Ste 200
Preston, ID 83263
Phone (208) 852-3662

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

Interoperability endpoints

  • Direct secure messaging: lance.bryce.1@17373.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1639372840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MEDICAL DR",
            "address_2": "SUITE 2",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023604",
            "telephone_number": "435-723-0329",
            "fax_number": "435-723-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MEDICAL DR",
            "address_2": "SUITE 2",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023604",
            "telephone_number": "435-723-0329",
            "fax_number": "435-723-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYCE",
        "first_name": "LANCE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "6979799-1205",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "76323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639372840",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.