Active NPI
Brian James Buckner, DO
- Obstetrics & Gynecology Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 13264659
- Practice address
- 585 N 500 W
Provo, UT 84601-1548 - Phone
- (801) 374-1801
- Fax
- (801) 216-8357
- NPI assigned
- Apr 17, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 13264659 | UT | Primary |
Addresses
Primary practice location
585 N 500 W
Provo, UT 84601-1548
Mailing address
585 N 500 W
Provo, UT 84601-1548
Phone (801) 374-1801
Other practice location 1
1441 N 12th St
Phoenix, AZ 85006-2837
Phone (602) 521-5700
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230515001445 | UT | Practitioner - Obstetrics/Gynecology | 2567798937 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Obstetrics and Gynecology, PC
Practice addresses (Care Compare)
585 N 500
Provo, UT 84601-1548
Phone (801) 374-1801
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13264659 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Obstetrics and Gynecology, P.C. | Current | Accepting new patients | |
| Valley Obstetrics and Gynecology, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Obstetrics and Gynecology, PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Valley Obstetrics and Gynecology, P.C. | Past | Accepting new patients | |
| Valley Obstetrics and Gynecology, PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
700 W 800 N
Ste 200
Orem, UT 84057
Phone (801) 229-2229
527 W 400 N
Ste 4
Orem, UT 84057
Phone (801) 225-9991
1055 N 300 W
Ste 108
Provo, UT 84604
Phone (801) 357-7190
585 N 500 W
Provo, UT 84601
Phone (801) 374-1801
692 E Market Place Dr
Ste 300
Spanish Fork, UT 84660
819 E Market Place Dr
Fl 3
Spanish Fork, UT 84660
Phone (801) 374-1801
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- American Fork, UT
- NPI 1588863377
Obstetrics & Gynecology, UT
-
- Advanced Practice Midwife
- American Fork, UT
- NPI 1780002188
-
- Clinical Medical Laboratory
- Provo, UT
- NPI 1346718764
-
- Obstetrics & Gynecology Physician
- St George, UT
- NPI 1568478170
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Provo, UT
- NPI 1699977496
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1801459649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846011548",
"telephone_number": "801-374-1801",
"fax_number": "801-216-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846011548",
"telephone_number": "801-374-1801",
"fax_number": "801-216-8357"
}
],
"practiceLocations": [
{
"address_1": "1441 N 12th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062837",
"country_code": "US",
"telephone_number": "602-521-5700",
"fax_number": "602-521-5701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKNER",
"first_name": "BRIAN",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "13264659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.