Active NPI
Bryce Robert Welch
- Behavior Technician
- Riverdale, UT
National Provider Identifier
1982368478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4933 S 1500 W
Riverdale, UT 84405-7175 - Phone
- (385) 695-2203
- NPI assigned
- Oct 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4933 S 1500 W
Riverdale, UT 84405-7175
Mailing address
4933 1500 W #110
4933 1500 W
Riverdale, UT 84405
Phone (385) 223-0341
Other practice location 1
4933 1500 W #110
4933 1500 w
Riverdale, UT 84405
Phone (385) 223-0341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1982368478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4933 1500 W #110",
"address_2": "4933 1500 W",
"city": "RIVERDALE",
"state": "UT",
"postal_code": "84405",
"telephone_number": "385-223-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 S 1500 W",
"city": "RIVERDALE",
"state": "UT",
"postal_code": "844057175",
"telephone_number": "385-695-2203"
}
],
"practiceLocations": [
{
"address_1": "4933 1500 W #110",
"address_2": "4933 1500 w",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "UT",
"postal_code": "84405",
"country_code": "US",
"telephone_number": "385-223-0341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "BRYCE",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-29",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.