NPIMap

Organization Active NPI

R Scott Bevan DPM PC

  • Podiatrist
  • Midvale, UT
National Provider Identifier
1740551126
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
92 Issued in UT
Legal business name
R SCOTT BEVAN DPM PC
Practice address
965 E South Union Avenue
Midvale, UT 84047-2323
Phone
(801) 243-3801
NPI assigned
Jan 18, 2012
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Richard Scott Bevan, DPMNPI 1558583716
Title
President
Phone
(801) 243-3801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 92 UT Primary

Addresses

Primary practice location

965 E South Union Avenue
Midvale, UT 84047-2323

Mailing address

PO Box 171258
Salt Lake City, UT 84117-1258
Phone (801) 243-3801

Other identifiers 1

IdentifierTypeStateIssuer
528725418002MedicaidUT

National Provider Directory

National Provider Directory

Locations

905 W 4000 S
Bountiful, UT 84010
Phone (801) 295-3171

2325 Madison Ave
Ogden, UT 84401
Phone (801) 399-5846

460 W 2600 S
Woods Cross, UT 84010
Phone (801) 295-3135

4105 S Poplar St
Casper, WY 82601
Phone (307) 237-2561

60 Magnolia St
Casper, WY 82604
Phone (307) 234-9381

326 N 11th St
Worland, WY 82401
Phone (307) 347-3208

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1740551126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171258",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841171258",
            "telephone_number": "801-243-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E SOUTH UNION AVENUE",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472323",
            "telephone_number": "801-243-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SCOTT BEVAN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BEVAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-243-3801",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "92",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528725418002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.