Individual provider Active NPI

Brian J Greer, CP, BOCO

  • Prosthetist
  • Murray, UT
National Provider Identifier
1811184229
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
480 E Winchester St Ste 275
Murray, UT 84107-7757
Phone
(801) 997-1367
Fax
(801) 997-1367
NPI assigned
Sep 29, 2007
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Prosthetist 224P00000X NU Primary

Addresses

Primary practice location

480 E Winchester St Ste 275
Murray, UT 84107-7757

Mailing address

480 E Winchester St Ste 275
Murray, UT 84107-7757
Phone (801) 997-1367

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Prosthetics, LLC Current Accepting new patients
Mobility Prosthetics, LLC Orthotist CurrentSince Oct 19, 2020 Accepting new patients

Locations

480 E Winchester St
Ste 275
Salt Lake City, UT 84107
Phone (801) 997-1367

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1811184229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E WINCHESTER ST STE 275",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077757",
            "telephone_number": "801-997-1367",
            "fax_number": "801-997-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E WINCHESTER ST STE 275",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077757",
            "telephone_number": "801-997-1367",
            "fax_number": "801-997-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "CP, BOCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-29",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.