NPIMap

Individual provider Active NPI

Brandon Lee Reynolds, DO

  • Obstetrics & Gynecology Physician
  • Covington, GA
National Provider Identifier
1710972641
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
54296 Issued in GA
Practice address
10600 Lochridge Blvd Ste a
Covington, GA 30014-4411
Phone
(229) 391-3500
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7750270-1204 UT
Obstetrics & Gynecology Physician 207V00000X 54296 GA Primary

Addresses

Primary practice location

10600 Lochridge Blvd Ste a
Covington, GA 30014-4411

Mailing address

10600 Lochridge Blvd Ste a
Covington, GA 30014-4411
Phone (229) 391-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040903000541 GA Practitioner - Obstetrics/Gynecology 7214903905 Reassigns benefits to 1 organization
I20110301000644 UT Practitioner - Obstetrics/Gynecology 7214903905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54296GAMDObstetrics & Gynecology Physician
7750270-1204UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Jan 23, 2018 Accepting new patients
Northside Womens Group LLC Obstetrics & Gynecology CurrentSince Mar 15, 2026 Accepting new patients
United Obstetrics and Gynecology, P.C. Obstetrics & Gynecology Past Accepting new patients
Womens Center for Advanced Surgery Inc Past Accepting new patients
Irwin County Anesthesia, Inc. PastSince Mar 1, 2001 Accepting new patients

Locations

165 N University Ave
Farmington, UT 84025
Phone (801) 213-3200

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1280 E Stringham Ave
Slc, UT 84106
Phone (801) 213-9077

5126 W Daybreak Pkwy
South Jordan, UT 84009
Phone (801) 213-4320

Organizations & group practices 7

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 3

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1710972641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 LOCHRIDGE BLVD STE A",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300144411",
            "telephone_number": "229-391-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 LOCHRIDGE BLVD STE A",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300144411",
            "telephone_number": "229-391-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "7750270-1204",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "54296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.