Individual provider Active NPI

Brian E James, AU.D.

  • Audiologist
  • Provo, UT
National Provider Identifier
1649568957
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8092096-4101 Issued in UT
Practice address
3303 N University Ave
Provo, UT 84604-4438
Phone
(801) 373-7438
Fax
(801) 373-7486
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 8092096-4101 UT
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 8092096-4101 UT
Audiologist 231H00000X 8092096-4101 UT Primary
Speech/Language/Hearing Specialist/Technologist 235500000X 8092096-4101 UT

Addresses

Primary practice location

3303 N University Ave
Provo, UT 84604-4438

Mailing address

3303 N University Ave
Provo, UT 84604-4438

Other practice location 1

3401 N Center St Ste 200
Lehi, UT 84043-7499
Phone (385) 309-1951

Other practice location 2

6717 S 900 E Ste 201
Midvale, UT 84047-5755
Phone (801) 649-4690

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

State licenses

LicenseStateTypeSpecialty
8092096-4101UTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzical Audiology LLC Audiologist CurrentSince Jun 9, 2024 Accepting new patients
Spine Orthopedic & Sports Physical Therapy LLC Audiologist PastSince Jun 27, 2017 Accepting new patients
Fast Track Physical Therapy and Sports Medicine, PLLC PastSince May 27, 2009 Accepting new patients

Locations

3401 N Center St
Ste 200
Lehi, UT 84043
Phone (385) 309-1951

3303 N University Ave
Provo, UT 84604
Phone (801) 373-7438

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1649568957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044438",
            "telephone_number": "801-373-7438",
            "fax_number": "801-373-7486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Center St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437499",
            "country_code": "US",
            "telephone_number": "385-309-1951",
            "fax_number": "385-248-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6717 S 900 E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840475755",
            "country_code": "US",
            "telephone_number": "801-649-4690",
            "fax_number": "801-984-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "8092096-4101",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "UT",
            "license": "8092096-4101",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "8092096-4101",
            "primary": true
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "UT",
            "license": "8092096-4101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.