Jed Vandenberghe MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JED VANDENBERGHE MD PC

Practice address

2160 E 4500 S Ste 1
Salt Lake City, UT 84117-4010

Phone

(801) 278-4693

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jed Vandenberghe, MDNPI 1922011576

Title

President

Phone

(801) 278-4693

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jed B Vandenberghe, MD

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1922011576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1841171790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150610",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150610",
            "telephone_number": "801-476-9200",
            "fax_number": "801-476-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E 4500 S STE 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174010",
            "telephone_number": "801-278-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED VANDENBERGHE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "VANDENBERGHE",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-278-4693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JBD Health Services (Salt Lake Valley Chiropractic)
• JBR Anesthesia Associates LLC
• JBR Surgical Associates LLC
• JBR Surgical Center, LLC
• JC Aljammal PLLC
• Rocky P.J. Jedick, M.D.
• Chezlie T Jedrziewski
• Jolanta Jedrzkiewicz
• Valerie Anne Jeerings Blaylock
• Ann Jefferds, MD

• Pediatrics Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.