The Bladder Clinic LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

THE BLADDER CLINIC LLC

Practice address

1551 Renaissance Towne Dr Ste 460
Bountiful, UT 84010-7672

Phone

(844) 764-7633

Fax

(385) 252-3338

NPI assigned

Apr 22, 2024

Last updated

Sep 3, 2025By 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

Carey Shimada

Title

Credentialing Specialist

Phone

(801) 628-8260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Justin Paul Parkinson, MD

  • Urology Physician
  • Bountiful, UT
  • NPI 1851314066
  Medicare reassignment NPD
• Steven B Cherrington, DO

  • Family Medicine Physician
  • Lindon, UT
  • NPI 1871608893
  NPD (past)
• Curtis D Niederhauser, PA-C

  • Surgical Physician Assistant
  • West Valley City, UT
  • NPI 1396909594

  Urology

  NPD (past)

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1992550974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840370432",
            "telephone_number": "801-589-4033",
            "fax_number": "385-252-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 460",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107672",
            "telephone_number": "844-764-7633",
            "fax_number": "385-252-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLADDER CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "SHIMADA",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "801-628-8260"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tellica Imaging, LLC
• Taylor Terrill
• Jonathan Milton Tew, M.D.
• Melinda Kay Thacker
• Matthew Charles Thaler
• The Doula House
• The Ocd and Anxiety Treatment Center
• Theraprime Management, LLC
• Adrienne Thomas
• Isabel Nicole Thomas

• Urology Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Urology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.