Active NPI
Brandon Michael Allen, DNAP
- Certified Registered Nurse Anesthetist
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9393449-8901
- Practice address
- 3580 W 9000 S
West Jordan, UT 84088-8812 - Phone
- (801) 561-8888
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9393449-8901 | UT | Primary |
Addresses
Primary practice location
3580 W 9000 S
West Jordan, UT 84088-8812
Mailing address
7952 N Seattle Slew Road
Eagle Mountain, UT 84005
Phone (801) 821-0425
Other practice location 1
1024 S LeMay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-7000
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 89.3
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9393449-8901 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Anesthesia LLC | Current | Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients |
Locations
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788
3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
dba Intermountain Health Riverton Hospital
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1902409113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7952 N SEATTLE SLEW ROAD",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "84005",
"telephone_number": "801-821-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888812",
"telephone_number": "801-561-8888"
}
],
"practiceLocations": [
{
"address_1": "1024 S LeMay Ave",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805243929",
"country_code": "US",
"telephone_number": "970-495-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"credential": "DNAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2021-06-15",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "9393449-8901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.