NPIMap

Organization Active NPI

Summit Brain and Spine PC

  • Neurological Surgery Physician
  • Lehi, UT
National Provider Identifier
1962045096
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SUMMIT BRAIN AND SPINE PC
Practice address
3000 N Triumph Blvd Ste 330
Lehi, UT 84043-7188
Phone
(385) 345-3560
Fax
(877) 331-0467
NPI assigned
Oct 22, 2019
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
John Ryan Edwards, MDNPI 1568692887
Title
Neurosurgeon
Phone
(385) 345-3560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

3000 N Triumph Blvd Ste 330
Lehi, UT 84043-7188

Mailing address

3000 N Triumph Blvd Ste 330
Lehi, UT 84043-7188
Phone (385) 345-3560

Other practice location 1

15 S 1000 E Ste 100
Payson, UT 84651-5592
Phone (385) 345-3560

Other practice location 2

3000 N Triumph Blvd Ste 240
Lehi, UT 84043-7187
Phone (385) 345-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200109000290 UT Part B Supplier - Clinic/Group Practice 2365877917 Receives reassigned benefits from 13 practitioners
Practice locations: Lehi, UT; Payson, UT
O20250820000386 UT DME Supplier - Multi-Specialty - Physician 2365877917 Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

3000 N Triumph Blvd
Ste 240
Lehi, UT 84043
Phone (385) 345-3560

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

1055 N 300 W
Ste 300
Provo, UT 84604
Phone (801) 357-7327

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1962045096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437188",
            "telephone_number": "385-345-3560",
            "fax_number": "877-331-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD STE 330",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437188",
            "telephone_number": "385-345-3560",
            "fax_number": "877-331-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 S 1000 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846515592",
            "country_code": "US",
            "telephone_number": "385-345-3560",
            "fax_number": "877-331-0467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 N Triumph Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437187",
            "country_code": "US",
            "telephone_number": "385-345-3560",
            "fax_number": "877-331-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT BRAIN AND SPINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "385-345-3560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.