John Brian Bateman, M.D.
Individual provider Active NPI Emergency Medicine Physician · Salt Lake City, UT
NPI 1831369966 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1831369966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301088177 (MI)
- Practice address
- 348 E 4500 S Ste 220
Salt Lake City, UT 84107-8524 - Phone
- (801) 577-7055
- Fax
- (888) 717-7578
- NPI assigned
- Mar 4, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100209000759 | OR | Practitioner - Emergency Medicine | 4880754308 | Reassigns benefits to 3 organizations |
| I20130705000462 | UT | Practitioner - Emergency Medicine | 4880754308 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088177 | MI | MD | Emergency Medicine Physician |
| MD29376 | OR | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Emergency Medicine | Current |
Accepting new patients |
| Good Shepherd Health Care System | Current |
Accepting new patients | |
| University of Utah Adult Services | Emergency Medicine | Current |
Accepting new patients |
| Providence Health & Services - Oregon | Emergency Medicine | Current |
Accepting new patients |
| Western Healthcare Services Texas | Emergency Medicine | Current |
Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
500 5th St
Brookings, OR 97415
Phone (541) 412-2000
94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Interoperability endpoints
- bbateman354355@direct.peacehealth.org
- jbateman438039@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301088177 | MI | Yes |
Addresses
Primary practice location
348 E 4500 S Ste 220
Salt Lake City, UT 84107-8524
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (541) 778-8617
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbateman438039@direct.med.utah.edu | Direct | University of Utah |
Other providers in Salt Lake City, UT
- Puja Batchu
- Abagail Maya Bate
- Alison Bateman
- Camron John Bateman
- Joel Wayne Bateman
- McKay Bateman
- Sammie June Bateman
- Sean Patrick Batenhorst
- Ruby Bates
- Sonja J Bates
All providers in Salt Lake City, UT · Emergency Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.