Individual provider Active NPI

John Brian Bateman, M.D.

  • Emergency Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1831369966
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301088177 Issued in 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
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301088177 MI Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address jbateman438039@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Providence Health & Services - Oregon Emergency Medicine CurrentSince Nov 1, 2009 Accepting new patients
Good Shepherd Health Care System CurrentSince Sep 1, 2019 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince May 7, 2013 Accepting new patients
University of Utah Adult Services CurrentSince Mar 1, 2020 Accepting new patients
Providence Health & Services - Oregon Emergency Medicine CurrentSince Nov 1, 2009 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

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

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

  • Direct secure messaging: bbateman354355@direct.peacehealth.org
  • Direct secure messaging: jbateman438039@direct.med.utah.edu

Organizations & group practices 9

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": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1831369966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "541-778-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078524",
            "telephone_number": "801-577-7055",
            "fax_number": "888-717-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "JOHN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301088177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbateman438039@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.