Individual provider Active NPI

Bevan Vern Bastian, MD

  • Diagnostic Radiology Physician
  • Gunnison, UT
National Provider Identifier
1821098088
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
187675-1205 Issued in UT
Practice address
PO Box 759
Gunnison, UT 84634-0759
Phone
(435) 528-7246
NPI assigned
Jul 28, 2005
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 187675-1205 UT Primary

Addresses

Primary practice location

PO Box 759
Gunnison, UT 84634-0759

Mailing address

HC 64 Box 21120
Axtell, UT 84621-5505
Phone (435) 851-1338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, IA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20031210000472 UT Practitioner - Diagnostic Radiology 5294631263 Reassigns benefits to 5 organizations
I20260507000797 IA Practitioner - Diagnostic Radiology 5294631263 Reassigns benefits to 1 organization
I20260515003521 CA Practitioner - Diagnostic Radiology 5294631263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians

Practice addresses (Care Compare)

150 N 300
Axtell, UT 84621-6628
Phone (510) 818-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187675-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Utah Radiology, PC Diagnostic Radiology CurrentSince Jan 1, 1993 Accepting new patients
Therapy West LLC Past Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology Past Accepting new patients

Locations

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

5334 S Woodrow St
#100
Salt Lake City, UT 84107
Phone (801) 284-1702

Organizations & group practices 11

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1821098088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 64 BOX 21120",
            "city": "AXTELL",
            "state": "UT",
            "postal_code": "846215505",
            "telephone_number": "435-851-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "GUNNISON",
            "state": "UT",
            "postal_code": "846340759",
            "telephone_number": "435-528-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "BEVAN",
        "middle_name": "VERN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "187675-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, UT

Sources for this page

Verify at the official NPI Registry.