Organization Active NPI

Dr Brian Richman PC

  • Foot & Ankle Surgery Podiatrist
  • Layton, UT
National Provider Identifier
1902087885
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
106650-0501 Issued in UT
Legal business name
DR BRIAN RICHMAN PC
Practice address
1660 W Antelope Dr Ste 110
Layton, UT 84041-1155
Phone
(801) 825-4703
Fax
(801) 774-0735
NPI assigned
Nov 19, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Brian Richman, DPMNPI 1831124247
Title
Owner
Phone
(801) 825-4709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 106650-0501 UT Primary

Addresses

Primary practice location

1660 W Antelope Dr Ste 110
Layton, UT 84041-1155

Mailing address

1660 W Antelope Dr Ste 110
Layton, UT 84041-1155
Phone (801) 825-4703

Other identifiers 7

IdentifierTypeStateIssuer
234764OtherUTDESERET MUTUAL
522988353001OtherUTBLUECROSS BLUE SHIELD
522988354001OtherUTBLUECROSS BLUESHIELD
107007424101OtherUTSELECT HEALTH
0000200881OtherUTALTIUS
0000200882OtherUTALTIUS
522988353021MedicaidUT

National Provider Directory

National Provider Directory

Locations

1660 W Antelope Dr
Ste 110
Layton, UT 84041
Phone (801) 825-4709

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902087885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 W ANTELOPE DR STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411155",
            "telephone_number": "801-825-4703",
            "fax_number": "801-774-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 W ANTELOPE DR STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411155",
            "telephone_number": "801-825-4703",
            "fax_number": "801-774-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRIAN RICHMAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-825-4709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "106650-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "234764",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "522988353001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "522988354001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "107007424101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "0000200881",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "0000200882",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522988353021",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.