BRODERICK DUANE SCOTHERN (NPI# 1144620907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144620907 |
| Entity Type | Individual |
| Full Name | BRODERICK DUANE SCOTHERN |
| Practice Address |
82 S 800 W Brigham City UT 84302-2400 |
| Practice Telephone | 4357238548 |
| Practice Fax Number | 4352398732 |
| Mailing Telephone | 4357238548 |
| Mailing Fax Number | 4352398732 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
82 S 800 W |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104147776 | David Winston Allred | Counselor | 82 S 800 W, Brigham City, UT 84302-2400 | 2010-06-17 |
| 1194382895 | Benjamin Blake Corbridge | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2019-05-29 |
| 1689230609 | Nicholas Moyle | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2019-05-15 |
| 1295206654 | Arissa Kathlyn Bartz | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-12-11 |
| 1053882787 | David Allen James | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-12-06 |
| 1962985507 | Nicholas Rodriguez | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-09-10 |
| 1679051767 | Elizabeth Short | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-08-01 |
| 1225521115 | Richard John Bartz | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-06-14 |
| 1285127167 | Shana Irene Zogg | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-06-14 |
| 1881187920 | Charlotte Ann Brailsford | Community Health Worker | 82 S 800 W, Brigham City, UT 84302-2400 | 2018-06-13 |
| Find all providers in the same location | ||||
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1992290084 | Shanna Janae Holt | Counselor | 971 S 800 W Ste 4, Brigham City, UT 84302-3042 | 2018-06-29 |
| 1356851745 | Michael Jeffrey Soholt | Counselor | 971 S 800 W, Brigham City, UT 84302-3042 | 2017-10-11 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 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 |
| 1538561287 | Michael London | Counselor | 862 S Main Street #4, Brigham City, UT 84302 | 2014-09-24 |
| 1144634031 | Nikolas Andrew Sorensen | Counselor | 826 South Main St, Suite 4, Brigham City, UT 84302 | 2014-06-18 |
| 1497169825 | Wendy Bowers | Counselor | 862 S Main, Suite 4, Brigham City, UT 84302 | 2014-06-13 |
| Find all providers in BRIGHAM CITY | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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| 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.