Individual provider Active NPI

Brian Thomas Rose, M.D.

  • Ophthalmology Physician
  • Murray, UT
National Provider Identifier
1851364723
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12404247-1205 Issued in UT
Practice address
243 E 6100 S
Murray, UT 84107-7302
Phone
(801) 585-3927
Fax
(801) 262-3069
NPI assigned
Feb 9, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20810 AZ
Ophthalmology Physician 207W00000X 12404247-1205 UT Primary

Addresses

Primary practice location

243 E 6100 S
Murray, UT 84107-7302

Mailing address

243 E 6100 S
Murray, UT 84107-7302
Phone (801) 585-3927

Other practice location 1

7571 S Willow Dr
Suite 101
Tempe, AZ 85283-5034
Phone (480) 897-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NROSE385073@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211230001816 UT Practitioner - Ophthalmology 2668442708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
St. Louis College of Physicians and Surgeons, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

65 S Mario Capecchi Dr
Salt Lake City, UT 84132-0005
Phone (801) 581-2352

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Dec 1, 2021 Accepting new patients
Associated Ophthalmologists LTD Ophthalmology CurrentSince Oct 1, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Dec 1, 2021 Accepting new patients
Biltmore Eye Physicians PC. Ophthalmology PastSince Oct 2, 2022 Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients
University of Utah PastSince Jul 7, 2024 Accepting new patients

Locations

7571 S Willow Dr
Tempe, AZ 85283

7571 S Willow Dr
Ste 101
Tempe, AZ 85283
Phone (480) 822-6230

65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352

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

Interoperability endpoints

  • Direct secure messaging: brose552880@direct.med.utah.edu
  • Direct secure messaging: nrose385073@direct.med.utah.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1851364723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 E 6100 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077302",
            "telephone_number": "801-585-3927",
            "fax_number": "801-262-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 E 6100 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077302",
            "telephone_number": "801-585-3927",
            "fax_number": "801-262-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7571 S Willow Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852835034",
            "country_code": "US",
            "telephone_number": "480-897-3131",
            "fax_number": "480-897-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-07-03",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "20810",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "12404247-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NROSE385073@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 Murray, UT

Sources for this page

Verify at the official NPI Registry.