Active NPI
Bryan Stewart Holtzman, MD
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Salt Lake City, UT
National Provider Identifier
1740920131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 14279445-1205
- Practice address
- 85 N Medical Dr
Salt Lake City, UT 84112-1100 - Phone
- (801) 587-5458
- NPI assigned
- Apr 1, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 14279445-1205 | UT | Primary |
| Hospitalist Physician | 208M00000X | 14279445-1205 | UT |
Addresses
Primary practice location
85 N Medical Dr
Salt Lake City, UT 84112-1100
Mailing address
85 N Medical Dr
Salt Lake City, UT 84112-1100
Phone (801) 587-5458
Other practice location 1
55 Fruit St
Boston, MA 02114-2696
Phone (978) 807-2043
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14279445-1205 | UT | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1740920131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121100",
"telephone_number": "801-587-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121100",
"telephone_number": "801-587-5458"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142696",
"country_code": "US",
"telephone_number": "978-807-2043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLTZMAN",
"first_name": "BRYAN",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-01",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "UT",
"license": "14279445-1205",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "UT",
"license": "14279445-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.