Active NPI
Bruce B Hill, MD
- Surgery Physician
- Provo, UT
National Provider Identifier
1699715664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3123952105
- Practice address
- 3550 N University Ave
Suite 250
Provo, UT 84604 - Phone
- (801) 374-9625
- Fax
- (801) 374-9690
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3123952105 | UT | Primary |
Addresses
Primary practice location
3550 N University Ave
Suite 250
Provo, UT 84604
Mailing address
3550 N University Ave
Suite 250
Provo, UT 84604
Phone (801) 374-9625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870516264 | Medicaid | UT |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3123952105 | UT | MD | Surgery Physician |
Interoperability endpoints
- usapro.brucehill@143148.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1699715664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 N UNIVERSITY AVE",
"address_2": "SUITE 250",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-374-9625",
"fax_number": "801-374-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 N UNIVERSITY AVE",
"address_2": "SUITE 250",
"city": "PROVO",
"state": "UT",
"postal_code": "84604",
"telephone_number": "801-374-9625",
"fax_number": "801-374-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "BRUCE",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "3123952105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870516264",
"state": "UT"
}
],
"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 Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.