DR. CARTER BROOKE JENNINGS (NPI# 1437430915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437430915 |
| Entity Type | Individual |
| Full Name | DR. CARTER BROOKE JENNINGS |
| Credential | MD |
| Practice Address |
2811 E 4135 S Salt Lake City UT 84124-3043 |
| Practice Telephone | 8014240677 |
| Practice Fax Number | 8012772963 |
| Mailing Telephone | 8014240677 |
| Mailing Fax Number | 8012772963 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 166517-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2811 E 4135 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647480 | Utah Therapeutic Health Center | General Practice | 740 E 3900 S Ste 108, Salt Lake City, UT 84107-2525 | 2020-07-23 |
| 1750922415 | Woundtech of Utah, Inc. | General Practice | 517 D St, Salt Lake City, UT 84103-2831 | 2019-10-03 |
| 1588928923 | Douglas Stein | General Practice | 5 S 500 W Unit 1205, Salt Lake City, UT 84101-4127 | 2012-06-29 |
| 1639430960 | Rita Florian Pingree | General Practice | 350 S 200 E, 400, Salt Lake City, UT 84111-2410 | 2012-06-04 |
| 1255620068 | Chad Chenoweth | General Practice | 1512 E 3115 S, Salt Lake City, UT 84106-3456 | 2011-04-01 |
| 1154622587 | Wallace Harold Ring | General Practice | 3125 Kennedy Dr., 1003, Salt Lake City, UT 84108-2110 | 2010-11-17 |
| 1639484025 | Fast Track Billing Inc | General Practice | 50 W Broadway, Suite 1000, Salt Lake City, UT 84101-2020 | 2010-08-10 |
| 1639495047 | Martin Richard Buta | General Practice | Department of General Surgery, 30 N. 1900 E., 3b324 Som, Salt Lake City, UT 84132-0001 | 2010-04-09 |
| 1548406325 | Brent Carl James | General Practice | 36 S State St Fl 16, Salt Lake City, UT 84111-1633 | 2008-12-27 |
| 1003069246 | Ted R Schultz Md LLC | General Practice | 866 Padley St, Salt Lake City, UT 84108-1414 | 2008-10-31 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on DR. CARTER BROOKE JENNINGS.
| 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.