Bariatric Medicine Institute

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6655906-1205 Issued in UT

Legal business name

BARIATRIC MEDICINE INSTITUTE

Practice address

1046 E. 100 S.
Salt Lake City, UT 84102

Phone

(801) 746-2885

Fax

(801) 746-2886

NPI assigned

Dec 20, 2010

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Rhead CottamNPI 1760574776

Title

Owner/Provider

Phone

(855) 655-7389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

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.

• Daniel Rhead Cottam, M.D.

  • Surgery Physician
  • Salt Lake City, UT
  • NPI 1760574776
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Talbot, RD

  • Registered Dietitian
  • South Jordan, UT
  • NPI 1437322146
  Medicare reassignment Care Compare group NPD
• Hoa An Collins, PA-C

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1194340240
  NPD (past)

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1902109549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E. 100 S.",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "855-655-7389",
            "fax_number": "801-931-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 E. 100 S.",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-746-2885",
            "fax_number": "801-746-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "COTTAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RHEAD",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "855-655-7389"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "6655906-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Francis Bardugon, PT
• Mario M Barela
• Emily Barfuss
• Alexej Barg, M.D.
• Brandon Bargeloh
• Bariatric Surgery Affiliates LLC
• E. Kay Barickman, PH.D.
• Lisa A Barkdull, F.N.P.
• Matthew Barkdull
• Andrea Michelle Barker, PA-C, MPAS

• Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.