Individual provider Active NPI

Brady Ardell Byington

  • Primary Care Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1700403540
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
7657406-8900 Issued in UT
Practice address
3945 Washington Blvd
Ogden, UT 84403-1825
Phone
(801) 479-4105
NPI assigned
Jun 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 7657406-8900 UT Primary

Addresses

Primary practice location

3945 Washington Blvd
Ogden, UT 84403-1825

Mailing address

3945 Washington Blvd
Ogden, UT 84403-1825
Phone (801) 479-4105

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brady.byington@va.gov Direct Dep. veterans Affairs

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200906000006 UT Order and Referring Only - Nurse Practitioner 6800214164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7657406-8900UTMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1700403540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031825",
            "telephone_number": "801-479-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031825",
            "telephone_number": "801-479-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYINGTON",
        "first_name": "BRADY",
        "middle_name": "ARDELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-12-03",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "7657406-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brady.byington@va.gov",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Dep. veterans Affairs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Foothill Blvd",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841480001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.