MOUNTAINSTAR BRIGHAM OBGYN, LLC (NPI# 1134379696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134379696 |
| Entity Type | Organization |
| Organization Name | MOUNTAINSTAR BRIGHAM OBGYN, LLC |
| Other Organization Name | BRIGHAM CENTER FOR WOMEN'S HEALTH |
| Practice Address |
984 Medical Dr Brigham City UT 84302-4712 |
| Practice Telephone | 4356952273 |
| Practice Fax Number | 4356952278 |
| Mailing Telephone | 4356952273 |
| Mailing Fax Number | 4356952278 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | DAVID J. KANE (VP) |
| Authorized Official Telephone | 8015685999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1134379696 | 05 |
| Other Name | Type Code |
|---|---|
| Brigham Center for Women's Health | Doing Business As Name - Organization |
| Street Address |
984 MEDICAL DR |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043220445 | Stephen E Starr | Obstetrics & Gynecology | 984 Medical Dr, Suite 4, Brigham City, UT 84302-3604 | 2006-08-08 |
| 1053732297 | Christy Annie Overson | Registered Nurse | 984 Medical Dr, Ste 4, Brigham City, UT 84302-3604 | 2013-12-13 |
| 1831424324 | Mountainstar Canyon Surgical Clinic LLC | Surgery | 984 Medical Dr, Suite 2, Brigham City, UT 84302-3604 | 2009-10-16 |
| 1407049083 | Daniel R. Ferguson, Md, P.C. | Obstetrics & Gynecology | 984 Medical Dr, Suite 4, Brigham City, UT 84302-4712 | 2007-08-27 |
| 1801089214 | Lance Fred Barker | Family Medicine | 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 | 2007-08-20 |
| 1174721674 | Thomas L Hannum | Specialist | 984 Medical Dr, Brigham City, UT 84302-4712 | 2007-07-05 |
| 1639372840 | Lance R Bryce | Surgery | 984 Medical Dr, Suite 2, Brigham City, UT 84302-3604 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679814222 | Jeffery Brent Daniels Brown | Obstetrics & Gynecology | 970 Medical Dr Ste 202, Brigham City, UT 84302-3286 | 2013-03-06 |
| 1518262369 | Carlos Dibble, Md LLC | Obstetrics & Gynecology | 980 Medical Dr Ste 1, Brigham City, UT 84302-3094 | 2011-01-25 |
| 1043220445 | Stephen E Starr | Obstetrics & Gynecology | 984 Medical Dr, Suite 4, Brigham City, UT 84302-3604 | 2006-08-08 |
| 1407873011 | Stanton A Bailey | Obstetrics & Gynecology | 984 Medical Dr Ste 4, Brigham City, UT 84302-4712 | 2006-07-17 |
| 1407049083 | Daniel R. Ferguson, Md, P.C. | Obstetrics & Gynecology | 984 Medical Dr, Suite 4, Brigham City, UT 84302-4712 | 2007-08-27 |
| 1982748679 | Ihc Health Services Inc | Obstetrics & Gynecology | 980 Medical Dr, Suite 1, Brigham City, UT 84302-3094 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753013 | Jessica Kaplan | Obstetrics & Gynecology | University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1326571621 | Kylie Measom Soffe | Obstetrics & Gynecology | Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 | 2017-04-04 |
| 1326492109 | Pennington Medical Center | Obstetrics & Gynecology | 3507 N University Ave Ste 175, Provo, UT 84604-6692 | 2016-04-19 |
| 1629430046 | Chadwick Miles Densley | Obstetrics & Gynecology | 12842 South 3600 West, Suite 200, Riverton, UT 84065 | 2016-03-24 |
| 1184090870 | Mountainstar Medical Group Timpanogos Specialty Care, LLC | Obstetrics & Gynecology | 1020 S 1100 W Ste B, Lehi, UT 84043-6041 | 2015-08-17 |
| 1639564016 | Kristen Hansord Lilja | Obstetrics & Gynecology | 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 | 2015-04-01 |
| 1194119172 | Irina Cassimatis | Obstetrics & Gynecology | University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 | 2015-03-26 |
| 1033509740 | Kathryn Fay | Obstetrics & Gynecology | 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 | 2015-02-02 |
| 1932528676 | Aliye Runyan | Obstetrics & Gynecology | 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 | 2014-04-09 |
| 1467870295 | Ashley Elizabeth Benson | Obstetrics & Gynecology | 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 | 2014-03-29 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
Please comment or provide details below to improve the information on MOUNTAINSTAR BRIGHAM OBGYN, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.