Organization Active NPI

Brookview Pain Management Inc

  • Emergency Medicine Physician
  • Ogden, UT
National Provider Identifier
1659640639
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5110301-1205 Issued in UT
Legal business name
BROOKVIEW PAIN MANAGEMENT INC
Practice address
1186 E 4600 S
Suite 200
Ogden, UT 84403-4332
Phone
(801) 475-7246
Fax
(801) 303-7329
NPI assigned
Dec 21, 2011
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Brett Joseph Earl, MDNPI 1568423564
Title
Owner
Phone
(801) 475-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 5110301-1205 UT Primary

Addresses

Primary practice location

1186 E 4600 S
Suite 200
Ogden, UT 84403-4332

Mailing address

1186 E 4600 S
Suite 200
Ogden, UT 84403-4332
Phone (801) 475-7246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1659640639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 E 4600 S",
            "address_2": "SUITE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034332",
            "telephone_number": "801-475-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 E 4600 S",
            "address_2": "SUITE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034332",
            "telephone_number": "801-475-7246",
            "fax_number": "801-303-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVIEW PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-475-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "5110301-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.