Marlon Bentley Murdock, BENTLEY

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

142 E 500 S Apt 2
Saint George, UT 84770-3629

Phone

(805) 215-0110

NPI assigned

May 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bentley Murdock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1861981912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MAIN ST STE 98",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847709997",
            "telephone_number": "805-215-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E 500 S APT 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703629",
            "telephone_number": "805-215-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "MARLON",
        "middle_name": "BENTLEY",
        "credential": "BENTLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOVARA FITNESS RESORT",
            "identifier": "001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENTLEY",
            "last_name": "MURDOCK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adam Cristopher Munk
• Dawn Nadia Munk
• Evalyn Munroe-Turnbull
• Scott Munson, O.T.
• Cloey Murdock
• McKenna Leigh Murdock, PA
• Ralph C Murdock, NP
• Sasha Murdock
• Shiloh Murdock
• Megan Nora Murphy

• Nutritionist in Saint George, UT
• Providers in Saint George, UT by specialty
• Nutritionist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.