Individual provider Active NPI

Justin Paul Parkinson, MD

  • Urology Physician
  • Bountiful, UT
National Provider Identifier
1851314066
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
6185240-1205 Issued in UT
Practice address
1551 Renaissance Towne Dr
Suite 370
Bountiful, UT 84010-7667
Phone
(801) 965-3600
NPI assigned
Jul 26, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 6185240-1205 UT Primary

Addresses

Primary practice location

1551 Renaissance Towne Dr
Suite 370
Bountiful, UT 84010-7667

Mailing address

3725 W 4100 S
West Valley City, UT 84120-5530
Phone (801) 965-3600

Other identifiers 1

IdentifierTypeStateIssuer
1851314066MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, ID3 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
I20060905000233 UT Practitioner - Urology 9931004231 Reassigns benefits to 4 organizations
I20170418001189 WY Practitioner - Urology 9931004231 Reassigns benefits to 1 organization
I20210510002736 ID Practitioner - Urology 9931004231 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin County Medical CenterGroup PAC ID 8820909104, 25 clinicians
Evanston Clinic CorpGroup PAC ID 8325038094, 24 clinicians
Caribou Medical Center, IncGroup PAC ID 7618365701, 35 clinicians

Practice addresses (Care Compare)

1030 S Medical Dr
Brigham City, UT 84302-3119
Phone (208) 852-3662

1551 Renaissance Towne Dr
Suite 460
Bountiful, UT 84010-7672
Phone (385) 252-3337

164 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-4359

196 Arrowhead Dr
Suite 8
Evanston, WY 82930-8752
Phone (307) 789-1390

300 S 3Rd
Soda Springs, ID 83276-1559
Phone 20854733417503

47 N 1St
Preston, ID 83263-1325
Phone (208) 852-2900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6185240-1205UTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Clinic Corp Urology CurrentSince Feb 25, 2017 Accepting new patients
Bear Lake County Memorial Hospital Current Accepting new patients
Bear Lake County Memorial Hospital CurrentSince May 31, 2025 Accepting new patients
Franklin County Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Tooele Urology LLC CurrentSince Jun 1, 2020 Accepting new patients
Physician Group of Utah Inc CurrentSince Jul 1, 2006 Accepting new patients
Deseret Peak Anesthesia, LLC CurrentSince Jun 1, 2020 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince May 31, 2025 Accepting new patients
Franklin County Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Caribou Medical Center, Inc CurrentSince Jan 7, 2024 Accepting new patients
Urology Associates Medical Group, PC Urology CurrentSince Jul 1, 2019 Accepting new patients
Caribou Medical Center, Inc CurrentSince Jan 7, 2024 Accepting new patients
The Bladder Clinic LLC Urology CurrentSince Jul 11, 2024 Accepting new patients
Franklin County Medical Center Past Accepting new patients
Suburban Urology Network PLLC Urology PastSince Jul 1, 2019 Accepting new patients
Evanston Internal Medicine Assoc. PastSince Apr 1, 1999 Accepting new patients

Locations

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

47 N 1st E
Preston, ID 83263
Phone (208) 852-2900

64 N 1st E
Ste 200
Preston, ID 83263
Phone (208) 852-3662

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

1551 Renaissance Towne Dr
Ste 460
Bountiful, UT 84010
Phone (385) 252-3337

1030 S Medical Dr
Brigham City, UT 84302
Phone (435) 237-7822

24 S 1100 E
Ste 105
Salt Lake Cty, UT 84102
Phone (801) 266-3418

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

2376 N 400 E
Ste A104
Tooele, UT 84074
Phone (435) 882-0071

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3590 W 9000 S
Ste 105
West Jordan, UT 84088
Phone (801) 233-6483

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

150 Arrowhead Dr
Ste 1
Evanston, WY 82930
Phone (307) 789-0524

196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143

196 Arrowhead Dr
Ste 8
Evanston, WY 82930
Phone (307) 789-1390

Interoperability endpoints

  • Direct secure messaging: jpparkin@yourcarecommunity.org
  • Direct secure messaging: justin.parkinson.1@1583.direct.athenahealth.com
  • Direct secure messaging: justin.parkinson.1@17373.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1851314066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205530",
            "telephone_number": "801-965-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "SUITE 370",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-965-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "6185240-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851314066",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.