BRIAN T BODEN (NPI# 1316938673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316938673 |
| Entity Type | Individual |
| Full Name | BRIAN T BODEN |
| Credential | PAC |
| Practice Address |
1975 N State St Orem UT 84057-2028 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8017145000 |
| Mailing Telephone | 8017145000 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 7060654-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1391 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200052790A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134651250 | Brian Boden | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2017-03-29 |
| Street Address |
1975 N STATE ST |
| City | OREM |
| State | UT |
| Zip Code | 84057-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962051938 | Alexis Jenson Morgan | Physician Assistant | 1975 N State St, Orem, UT 84057-2028 | 2019-09-11 |
| 1396210167 | Katherine Elizabeth Hill | Nurse Practitioner | 1975 N State St, Orem, UT 84057-2028 | 2018-10-09 |
| 1720484934 | Mark Cattermole | Physician Assistant | 1975 N State St, Orem, UT 84057-2028 | 2014-11-16 |
| 1104186758 | Andrew Chilberg Judd | Family Medicine | 1975 N State St, Orem, UT 84057-2028 | 2012-05-16 |
| 1902074792 | Ihc Health Services Inc | Pharmacy | 1975 N State St, Orem, UT 84057-2028 | 2008-02-14 |
| 1942336649 | Ihc Health Services Inc | Family Medicine | 1975 N State St, Orem, UT 84057-2028 | 2007-02-26 |
| 1275669970 | Ihc Health Services Inc | Emergency Medicine | 1975 N State St, Orem, UT 84057-2028 | 2007-02-26 |
| 1134224090 | Jennifer Sariah Gilbert | Family Medicine | 1975 N State St, Orem, UT 84057-2028 | 2006-09-14 |
| 1144236225 | Matthew A Brown | Family Medicine | 1975 N State St, Orem, UT 84057-2028 | 2006-07-31 |
| 1225044217 | Karyn A Springer | Family Medicine | 1975 N State St, Orem, UT 84057-2028 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462304 | Carson Homer | Physician Assistant | 1715 S 40 W, Orem, UT 84058-8409 | 2020-06-25 |
| 1891340873 | Maria Lynn Campbell | Physician Assistant | 717 N 450 E, Orem, UT 84097-4122 | 2019-08-06 |
| 1154975662 | Paloma Martinez | Physician Assistant | 892 High Country Dr, Orem, UT 84097-2369 | 2019-08-01 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1386185320 | Kathleen Bentley | Physician Assistant | 1788 N State St, Orem, UT 84057-2025 | 2017-03-09 |
| 1528394459 | Jessica Jones | Physician Assistant | 1086 N 1200 W, Orem, UT 84057-2840 | 2009-10-28 |
| 1962051938 | Alexis Jenson Morgan | Physician Assistant | 1975 N State St, Orem, UT 84057-2028 | 2019-09-11 |
| 1023662400 | Adam Christopher Garrett | Physician Assistant | 96 N 400 E, Orem, UT 84097-4845 | 2019-07-24 |
| 1457829780 | Alexandra Tippetts-kottcamp | Physician Assistant | 421 N Orem Blvd, Orem, UT 84057-8813 | 2018-11-05 |
| 1780194712 | Lorraine P Brimhall | Physician Assistant | 1350 E 750 N, Orem, UT 84097-4345 | 2017-10-04 |
| Find all providers in OREM | ||||
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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.