Denali Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DENALI MEDICAL CENTER

Practice address

415 Medical Dr Ste C202
Bountiful, UT 84010-4978

Phone

(801) 921-6232

Fax

(801) 303-7329

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By 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

Brett Earl, MDNPI 1568423564

Title

Owner / Provider

Phone

(801) 921-6232

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Brett Earl, MD

  • General Practice Physician
  • Bountiful, UT
  • NPI 1568423564
  NPD Authorized official
• Alisha Richins, FNP-BC

  • Family Nurse Practitioner
  • Murray, UT
  • NPI 1679974968
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1932878279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE C202",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104978",
            "telephone_number": "801-921-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE C202",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104978",
            "telephone_number": "801-921-6232",
            "fax_number": "801-303-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "801-921-6232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diedra Decorso
• Troy Dennis Dedecker, DDS
• Bradley J Deitch, D.M.D.
• Jacob Delamare
• Kort H. Delost, RPH
• Denali Specialty Clinic LLC
• Gladys Dennis
• Dental Designs of Bountiful
• Jordan Alec Derbidge
• Deseret Health Group, LLC

• General Practice Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.