Organization Active NPI

B Grant Bishop MD PC

  • Dermatopathology Physician
  • St. George, UT
National Provider Identifier
1902023120
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
B GRANT BISHOP MD PC
Practice address
552 N. Dixie Dr.
St. George, UT 84770
Phone
(435) 703-9296
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
B Grant Bishop, MD
Title
President
Phone
(801) 298-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X Primary

Addresses

Primary practice location

552 N. Dixie Dr.
St. George, UT 84770

Mailing address

PO Box 217
Layton, UT 84041-0217
Phone (435) 703-9296

National Provider Directory

National Provider Directory

Locations

425 Medical Dr
#218
Bountiful, UT 84010
Phone (801) 298-3802

1449 N 1400 W
Ste 24
St George, UT 84770
Phone (435) 656-2003

1449 N 1400 W
Ste 22
St George, UT 84770
Phone (435) 703-9296

552 N Dixie Dr
St George, UT 84770
Phone (435) 703-9296

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1902023120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840410217",
            "telephone_number": "435-703-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 N. DIXIE DR.",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-703-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B GRANT BISHOP MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "B GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-298-3802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.