Individual provider Active NPI

Brian James Buckner, DO

  • Obstetrics & Gynecology Physician
  • Provo, UT
National Provider Identifier
1801459649
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13264659 Issued in UT
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

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 46 clinicians

Practice addresses (Care Compare)

585 N 500
Provo, UT 84601-1548
Phone (801) 374-1801

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13264659UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology CurrentSince Jul 1, 2023 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.

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

Verify at the official NPI Registry.