Individual provider Active NPI

Spencer Edmond Pierson, M.D.

  • Obstetrics & Gynecology Physician
  • Murray, UT
National Provider Identifier
1699119487
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9148242-1205 Issued in UT
Practice address
5063 S Cottonwood St Ste 400
Murray, UT 84107-6773
Phone
(801) 507-1950
Fax
(801) 507-1951
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 9148242-1205 UT Primary

Addresses

Primary practice location

5063 S Cottonwood St Ste 400
Murray, UT 84107-6773

Mailing address

5063 S Cottonwood St Ste 400
Murray, UT 84107-6773
Phone (801) 507-1950

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
I20210517002594 UT Practitioner - Obstetrics/Gynecology 5890018949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottonwood OB-GYNGroup PAC ID 9335432368, 7 clinicians

Practice addresses (Care Compare)

291 W 5400
Murray, UT 84107-5876
Phone (385) 758-1920

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9148242-1205UTMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: spencer.pierson@405403629977604.direct.elationemr.com

Organizations & group practices 1

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 1

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1699119487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5063 S COTTONWOOD ST STE 400",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076773",
            "telephone_number": "801-507-1950",
            "fax_number": "801-507-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5063 S COTTONWOOD ST STE 400",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076773",
            "telephone_number": "801-507-1950",
            "fax_number": "801-507-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "SPENCER",
        "middle_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "9148242-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.