Individual provider Active NPI

Bruce Y Newton, MD

  • Physical Medicine & Rehabilitation Physician
  • Salt Lake City, UT
National Provider Identifier
1679565170
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2630961205 Issued in UT
Practice address
1160 E 3900 S Ste 4050
Salt Lake City, UT 84124-1264
Phone
(801) 262-8486
Fax
(801) 284-8699
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2630961205 UT Primary

Addresses

Primary practice location

1160 E 3900 S Ste 4050
Salt Lake City, UT 84124-1264

Mailing address

280 S Main St
Bountiful, UT 84010-6236
Phone (801) 262-8486

Other practice location 1

2326 N 400 E Ste 102
Tooele, UT 84074-3460
Phone (435) 241-6444

Other identifiers 1

IdentifierTypeStateIssuer
D0083MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115001185 UT Practitioner - Physical Medicine and RehabilitationPractitioner - Orthopedic Surgery 9638198997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Utah School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt Lake Orthopaedic Specialist LLCGroup PAC ID 3173422730, 10 clinicians

Practice addresses (Care Compare)

1521 E 3900
Suite 200
Salt Lake City, UT 84124-1550
Phone (801) 262-8486

Hospital & facility affiliations

  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2630961205UTMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Lake Orthopaedic Specialist, LLC CurrentSince Jan 1, 2002 Accepting new patients
Salt Lake Orthopaedic Specialist, LLC CurrentSince Jan 1, 2002 Accepting new patients
Salt Lake Orthopaedic Specialist, LLC Past Accepting new patients

Locations

280 S Main St
Bountiful, UT 84010
Phone (801) 505-0820

1521 E 3900 S
Ste 200
Salt Lake City, UT 84124
Phone (801) 262-8486

1160 E 3900 S
Ste 4050
Salt Lake Cty, UT 84124
Phone (801) 262-8486

1160 E 3900 S
Ste 5000
Slc, UT 84124
Phone (801) 261-7479

2326 N 400 E
Ste 102
Tooele, UT 84074
Phone (435) 241-6444

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.

Hospital & facility affiliations 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1679565170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-262-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S STE 4050",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241264",
            "telephone_number": "801-262-8486",
            "fax_number": "801-284-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2326 N 400 E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840743460",
            "country_code": "US",
            "telephone_number": "435-241-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "BRUCE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "2630961205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0083",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.