NPIMap

Individual provider Active NPI

David M Perry, MD

  • Diagnostic Radiology Physician
  • Vernal, UT
National Provider Identifier
1912074352
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3154161205 Issued in UT
Practice address
150 W 100 N
Vernal, UT 84078-2036
Phone
(435) 789-3342
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3154161205 UT Primary

Addresses

Primary practice location

150 W 100 N
Vernal, UT 84078-2036

Mailing address

PO Box 95970
South Jordan, UT 84095-0970
Phone (800) 877-7081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000304 UT Practitioner - Diagnostic Radiology 9638198690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 W 100
Vernal, UT 84078-2036
Phone (435) 789-3342

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3154161205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Imaging of Eastern Utah LLC CurrentSince Nov 1, 2017 Accepting new patients
Mountain Valley Imaging LLC Diagnostic Radiology Past Accepting new patients
Mountain Valley Imaging Diagnostic Radiology Past Accepting new patients
Mountain Valley Imaging of Utah LLP Diagnostic Radiology Past Accepting new patients

Locations

2637 N Washington Blvd
Ogden, UT 84414
Phone (385) 244-0489

2910 Washington Blvd
Ste 310
Ogden, UT 84401
Phone (801) 621-6671

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

Interoperability endpoints

  • Direct secure messaging: bmo9037@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1912074352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "800-877-7081",
            "fax_number": "801-352-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782036",
            "telephone_number": "435-789-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "3154161205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.