BRUCE RYAN BRADY (NPI# 1467474676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467474676 |
| Entity Type | Individual |
| Full Name | BRUCE RYAN BRADY |
| Other Name | B. RYAN BRADY |
| Credential | M.D. |
| Practice Address |
470 East 3900 South #200 Salt Lake City UT 84107-2332 |
| Mailing Address |
Po Box 571800 Murray UT 84157-1800 |
| Practice Telephone | 8017472800 |
| Practice Fax Number | 8017473022 |
| Mailing Telephone | 8017472800 |
| Mailing Fax Number | 8017473022 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4848635-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
470 EAST 3900 SOUTH #200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033423249 | David B Gamble | Nurse Practitioner | 470 East 3900 South, Suite 200, Salt Lake City, UT 84107 | 2010-07-29 |
| 1417121609 | Utah Endocrinology Associates Pllc | Internal Medicine | 470 East 3900 South, #200, Salt Lake City, UT 84107-2332 | 2008-04-17 |
| 1891906541 | Susan Abu-khalaf | Internal Medicine | 470 East 3900 South, #200, Salt Lake City, UT 84107-2332 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700294428 | James Craven | Internal Medicine | 30 N 1900 E Som, Department of Medicine Office of Education, Salt Lake City, UT 84132 | 2014-07-25 |
| 1467533950 | Shahzad Ahmad | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2006-10-18 |
| 1588754063 | Debra Lynn Simmons | Internal Medicine | 615 S Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2006-10-13 |
| 1033209614 | Eliot Ashby Brinton | Internal Medicine | 421 S Wakara Way Ste 121, Salt Lake City, UT 84108-1244 | 2006-10-13 |
| 1952327173 | Simon J Fisher | Internal Medicine | 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 | 2006-07-14 |
| 1417989971 | Alireza Falahati-nini | Internal Medicine | 470 E 3900 S, Suite 200, Salt Lake City, UT 84107 | 2006-07-07 |
| 1710466115 | Jc Aljammal Pllc | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2018-08-07 |
| 1992298970 | Shahzad Ahmad Pllc | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2018-06-13 |
| 1851741342 | Abhilasha Singh | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-06-15 |
| 1508215757 | Massiell German | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-06-08 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.