Active NPI
Bryan Paul Hemard Sr., BRYAN HEMARD, M.D.
- Ophthalmology Physician
- Salt Lake City, UT
National Provider Identifier
1760621940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD.011222
- Practice address
- 6308 Canyon Cove Dr
Salt Lake City, UT 84121-6336 - Phone
- (801) 278-9150
- Fax
- (801) 278-9152
- NPI assigned
- Feb 12, 2009
- Last updated
- Feb 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD.011222 | LA | Primary |
Addresses
Primary practice location
6308 Canyon Cove Dr
Salt Lake City, UT 84121-6336
Mailing address
6308 Canyon Cove Dr
Salt Lake City, UT 84121-6336
Phone (801) 278-9150
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.011222 | LA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1760621940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 CANYON COVE DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216336",
"telephone_number": "801-278-9150",
"fax_number": "801-278-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 CANYON COVE DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216336",
"telephone_number": "801-278-9150",
"fax_number": "801-278-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMARD",
"first_name": "BRYAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "BRYAN HEMARD, M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "MD.011222",
"primary": true
}
],
"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 Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.