MATTHEW THOMAS BRYAN (NPI# 1720349814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720349814 |
| Entity Type | Individual |
| Full Name | MATTHEW THOMAS BRYAN |
| Credential | M.D. |
| Practice Address |
324 E 10th Ave Suite 100 Salt Lake City UT 84103-2853 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014087500 |
| Mailing Telephone | 8014087500 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2016-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9337452-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 125:061197 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093371643 | Matthew Bryan | Case Manager/Care Coordinator | 817 Revere Way E, Bartlesville, OK 74006-8871 | 2019-05-18 |
| 1679184147 | Matthew Christopher Bryan | Social Worker | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2020-08-10 |
| 1902251143 | Matthew Bryan | Psychiatry & Neurology | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2016-04-25 |
| 1750715660 | Matthew Bryan | Counselor | 16338 N Il Hwy 37, Mount Vernon, IL 62864-8178 | 2013-08-27 |
| 1447376470 | Matthew Dean Bryan | Audiologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-21 |
| 1255379533 | Matthew Everett Bryan | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| Street Address |
324 E 10TH AVE SUITE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967387 | Jeremy Russel Harman | Physician Assistant | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2005-10-25 |
| 1336677277 | Ihc Health Services Inc | Surgery | 324 E 10th Ave, Salt Lake City, UT 84103-2853 | 2017-05-23 |
| 1639505779 | Ryan K Garritson | Physician Assistant | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2013-09-20 |
| 1285971507 | Tara Wilhelmsen | Occupational Therapist | 324 E 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2013-01-07 |
| 1306136353 | Melissa Lynne Devries | Psychologist | 324 E 10th Ave, Suite 200, Salt Lake City, UT 84103-2853 | 2011-04-12 |
| 1700185568 | Jill Ashley Monteiro | Internal Medicine | 324 E 10th Ave, Suite 200, Salt Lake City, UT 84103-2853 | 2011-03-19 |
| 1972745024 | Dan A Collins | Internal Medicine | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2009-04-02 |
| 1356540652 | Sara Delong | Psychiatry & Neurology | 324 E 10th Ave, Suite 178, Salt Lake City, UT 84103-2853 | 2007-07-16 |
| 1063637353 | Darcie Reasoner Gorman | Internal Medicine | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2007-04-13 |
| 1619005659 | Patricia Anne Gurell | Nurse Practitioner | 324 E 10th Ave, Ste 178, Salt Lake City, UT 84103-2853 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| 1770018277 | Karma-jaya Elliott | Internal Medicine | The University of Utah 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-04-22 |
| 1982050126 | Lloyd Petty | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-05-06 |
| 1164884391 | Josephine Wright | Internal Medicine | University of Utah 30 North 1900 East 4c104, Salt Lake City, UT 84132-0001 | 2016-03-26 |
| 1750769220 | Diagnopy, LLC | Internal Medicine | 4285 S Highland Dr, Salt Lake City, UT 84124-2603 | 2015-05-15 |
| 1053798553 | Kenneth Jay Nielson | Internal Medicine | 1794 S Wasatch Dr, Salt Lake City, UT 84108-3366 | 2015-05-04 |
| 1255726469 | Whitney Kay Haseman | Internal Medicine | The University of Utah Som Dept of Medicine, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417342601 | Jennifer Kaye Shepard | Internal Medicine | The University of Utah School of Medicine Dept Ofmed, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417340704 | Nilma A Malik | Internal Medicine | 15 N 2030 E, Division of Endocrinology, University of Utah, Salt Lake City, UT 84112-5339 | 2015-03-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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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.