JOHN F BERMEN JR. (NPI# 1548351364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548351364 |
| Entity Type | Individual |
| Full Name | JOHN F BERMEN JR. |
| Credential | MD |
| Practice Address |
3465 S 4155 West Suite 5 Salt Lake City UT 84120-2013 |
| Mailing Address |
3465 S Pioneer Parkway Suite 5 Salt Lake City UT 84129-2013 |
| Practice Telephone | 8019670282 |
| Practice Fax Number | 8019670565 |
| Mailing Telephone | 8019670282 |
| Mailing Fax Number | 8019670565 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 1597111205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OWCP | 19010400 | 01 |
| Street Address |
3465 S 4155 WEST SUITE 5 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84120-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144582354 | Daniel Bradley Gibbs | Orthopaedic Surgery | 6360 S 3000 E # Sre210, Salt Lake City, UT 84121 | 2012-06-13 |
| 1992037410 | Geoffrey Alvin Orme | Orthopaedic Surgery | 2045 E 900 S, Salt Lake City, UT 84108-1301 | 2010-02-09 |
| 1700050044 | Junius Clawson Md PC | Orthopaedic Surgery | 5810 S 300 E Ste 300, Salt Lake City, UT 84107-8176 | 2008-04-17 |
| 1376764282 | Joan D Miles | Orthopaedic Surgery | 5169 S Cottonwood St Ste 430, Salt Lake City, UT 84107-6774 | 2007-05-01 |
| 1407988504 | Johnathan Horne | Orthopaedic Surgery | 6362 Vintage Oak Ln, Salt Lake City, UT 84121-6544 | 2007-03-12 |
| 1578606562 | Craig Hugh Mcqueen | Orthopaedic Surgery | 1250 E 3900 S Ste 4050, Salt Lake City, UT 84124-1348 | 2007-02-15 |
| 1669563706 | Utah Bone & Joint Center Lc | Orthopaedic Surgery | 5323 S. Woodrow St, Ste 202, Salt Lake City, UT 84107 | 2006-09-27 |
| 1255378063 | Kent Mitchell Samuelson | Orthopaedic Surgery | 324 10th Avenue, #100, Salt Lake City, UT 84103 | 2006-06-01 |
| 1104881499 | Jacques L. D'astous | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hospitals for Children, Salt Lake City, UT 84103-4399 | 2006-04-19 |
| 1366418386 | Michael Shaun Machen | Orthopaedic Surgery | 100 Mario Capecchi Dr # 4550, Salt Lake City, UT 84113-1103 | 2006-02-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84120 |
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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.