Jill D McBride, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A79491 Issued in CA

Practice address

8211 W 3500 S
Magna, UT 84044-1851

Phone

(801) 250-9638

Fax

(801) 250-3204

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  NPD (past)
• Exodus Healthcare Network PLLC

  • Clinic/Center
  • West Valley, UT
  • NPI 1679731319
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992718902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 W 3500 S",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840441851",
            "telephone_number": "801-250-9638",
            "fax_number": "801-250-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 W 3500 S",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840441851",
            "telephone_number": "801-250-9638",
            "fax_number": "801-250-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JILL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0028551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magna Eyecare, L.L.C.
• Magna PDC PLLC
• Sally Marelius
• Gregory S Martinez, D.P.T.
• Cheston Dee Mauchley
• Cheryl McGovern, PAC
• Nia Miller
• Mobile Eyecare of Utah LLC
• Natalie Marie Montanez, MA, ACMHC
• Jaime Alonso Montes, D.O.

• Family Medicine Physician in Magna, UT
• Providers in Magna, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.