Individual provider Active NPI

Joel D Gardner, DO

  • Anesthesiology Physician
  • Brigham City, UT
National Provider Identifier
1942329883
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8821754-1204 Issued in UT
Practice address
950 S Medical Drive
Brigham City, UT 84302-3090
Phone
(435) 734-9471
Fax
(770) 701-6674
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 8821754-1204 UT Primary

Addresses

Primary practice location

950 S Medical Drive
Brigham City, UT 84302-3090

Mailing address

PO Box 3810
Salt Lake City, UT 84110-3810
Phone (800) 594-6399

Other practice location 1

560 W 465 N Ste 604
Providence, UT 84332-8006
Phone (435) 753-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140414002089 UT Practitioner - Anesthesiology 6507902731 Reassigns benefits to 2 organizations
I20201119001473 WY Practitioner - Anesthesiology 6507902731 Reassigns benefits to 2 organizations
I20241118001678 NV Practitioner - Anesthesiology 6507902731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians
Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTDGroup PAC ID 5799683462, 168 clinicians
Interwest Anesthesia Associates LLCGroup PAC ID 0042293359, 29 clinicians
Brigham Anesthesia, LLCGroup PAC ID 9335108299, 5 clinicians

Practice addresses (Care Compare)

110 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5852

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-8434

500 E 1400
Logan, UT 84341
Phone (435) 716-1000

950 Medical Dr
Brigham City, UT 84302-4724
Phone (435) 734-9471

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology CurrentSince Nov 13, 2024 Accepting new patients
North Lincoln County Hospital District Current Accepting new patients
Interwest Anesthesia Associates LLC Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
North Lincoln County Hospital District CurrentSince Oct 5, 2020 Accepting new patients
Brigham Anesthesia, LLC Anesthesiology CurrentSince Mar 1, 2014 Accepting new patients
Mountain West Ear Nose and Throat LC Current Accepting new patients
Womens Anesthesia Services of Denver Professional LLC Anesthesiology Past Accepting new patients

Locations

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

55 E Golf Course Rd
Logan, UT 84321
Phone (435) 760-3734

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

Interoperability endpoints

  • Direct secure messaging: jgardner633971@direct.ochin.org

Organizations & group practices 7

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 4

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1942329883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103810",
            "telephone_number": "800-594-6399",
            "fax_number": "770-701-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MEDICAL DRIVE",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023090",
            "telephone_number": "435-734-9471",
            "fax_number": "770-701-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W 465 N Ste 604",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843328006",
            "country_code": "US",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JOEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "8821754-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.