Active NPI
Brian Arthur Ekberg, PA-C
- Medical Physician Assistant
- Bountiful, UT
National Provider Identifier
1992759583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10504077-1206
- Practice address
- 520 Medical Dr Ste 300
Bountiful, UT 84010-8925 - Phone
- (801) 292-1422
- Fax
- (801) 296-0436
- NPI assigned
- May 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10504077-1206 | UT | Primary |
Addresses
Primary practice location
520 Medical Dr Ste 300
Bountiful, UT 84010-8925
Mailing address
520 Medical Dr Ste 300
Bountiful, UT 84010-8925
Phone (801) 292-1422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
520 Medical Dr
Suite 300
Bountiful, UT 84010-4968
Hospital & facility affiliations
- Lakeview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73 of 100
- Quality
- 86.2
- Promoting interoperability
- 33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Ridge Family Medicine LLC | Current | Accepting new patients | |
| Jordan Ridge Family Medicine LLC | Current | Accepting new patients | |
| Joshua Oaks MD PLLC | Past | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Past | Accepting new patients | |
| Linda L. Johnson MD, LTD | Past | Accepting new patients |
Locations
6321 S Redwood Rd
Ste 201
Taylorsville, UT 84123
Phone (801) 265-2212
Interoperability endpoints
- brianekberg@optmct.allscriptsdirect.net
- brian.ekberg.1@16218.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1770509754
-
- Internal Medicine Physician
- Bountiful, UT
- NPI 1205221405
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Family Medicine Physician
- West Valley City, UT
- NPI 1306275227
-
- Primary Care Clinic/Center
- Sandy, UT
- NPI 1962166710
-
- Internal Medicine Physician
- Bountiful, UT
- NPI 1184125668
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Adult Medicine Physician
- Henderson, NV
- NPI 1376838110
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bountiful, UT
- NPI 1528010451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1992759583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MEDICAL DR STE 300",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108925",
"telephone_number": "801-292-1422",
"fax_number": "801-296-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MEDICAL DR STE 300",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108925",
"telephone_number": "801-292-1422",
"fax_number": "801-296-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKBERG",
"first_name": "BRIAN",
"middle_name": "ARTHUR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "10504077-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.