Individual provider Active NPI

Glade Brian Curtis, M.D., MPH

  • Addiction Medicine (Preventive Medicine) Physician
  • Salt Lake City, UT
National Provider Identifier
1982872701
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
169515-1205 Issued in UT
Practice address
6337 Highland Dr
#2054
Salt Lake City, UT 84121-2107
Phone
(801) 664-5322
Fax
(801) 664-5322
NPI assigned
Feb 14, 2008
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 169515-1205 UT
Obstetrics & Gynecology Physician 207V00000X 169515-1205 UT
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 169515-1205 UT Primary

Addresses

Primary practice location

6337 Highland Dr
#2054
Salt Lake City, UT 84121-2107

Mailing address

6337 Highland Drive
#2054
Salt Lake City, UT 84121-2107
Phone (801) 664-5322

Other practice location 1

668 E 12225 S Ste 203
Draper, UT 84020-8385
Phone (801) 572-8255

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)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
169515-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westview Women's Center PastSince Jan 1, 2006 Accepting new patients
Layne a Smith, MD PC Obstetrics & Gynecology PastSince Jun 1, 2011 Accepting new patients
Gregory C. Tanner, M.D. P.C. Obstetrics & Gynecology Past Accepting new patients
Care One Partners LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1982872701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 HIGHLAND DRIVE",
            "address_2": "#2054",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212107",
            "telephone_number": "801-664-5322",
            "fax_number": "801-572-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337 HIGHLAND DR",
            "address_2": "#2054",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212107",
            "telephone_number": "801-664-5322",
            "fax_number": "801-664-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "668 E 12225 S Ste 203",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208385",
            "country_code": "US",
            "telephone_number": "801-572-8255",
            "fax_number": "801-572-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "GLADE",
        "middle_name": "BRIAN",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "169515-1205",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "169515-1205",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "UT",
            "license": "169515-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.