Active NPI
Bryan Seth Palmer, MD
- Obstetrics & Gynecology Physician
- Ogden, UT
National Provider Identifier
1730338161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 50331491205
- Practice address
- 4403 Harrison Blvd
Ste 4650
Ogden, UT 84403-3271 - Phone
- (801) 475-3240
- Fax
- (801) 475-3241
- NPI assigned
- Sep 10, 2008
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 50331491205 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd
Ste 4650
Ogden, UT 84403-3271
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3240
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50331491205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients | |
| Ogden Clinic PC | Obstetrics & Gynecology | Current | Accepting new patients |
| T-Medica Mobil Anesthesia Inc. | Past | Accepting new patients |
Locations
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
4403 Harrison Blvd
Ste 4650
Ogden, UT 84403
Phone (801) 387-4400
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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.
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- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1306588355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1730338161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3240",
"fax_number": "801-475-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD",
"address_2": "STE 4650",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033271",
"telephone_number": "801-475-3240",
"fax_number": "801-475-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "BRYAN",
"middle_name": "SETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-10",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "50331491205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.