MR. BRUCE MCCLANAHAN BURNHAM


Address: 3152 North University Ave, Suite 120, Provo, UT 84604
Phone: 8013752177

MR. BRUCE MCCLANAHAN BURNHAM (NPI# 1760695514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760695514
Entity Type Individual
Full Name MR. BRUCE MCCLANAHAN BURNHAM
Credential PHYSICIAN ASSISTANT
Practice Address 3152 North University Ave
Suite 120
Provo
UT 84604
Mailing Address 11119 S Prescott Park Cir
Sandy
UT 84092-5098
Practice Telephone 8013752177
Mailing Telephone 8015620058
Enumeration Date 2007-05-08
Last Update Date 2013-12-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1033258906 UT Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRUCE BURNHAM

NPI Name Taxonomy Address Enumeration
1467495515 Bruce Evans Burnham Specialist 131 New London Tpke, Glastonbury, CT 06033-2246 2006-06-14
1417998022 Bruce O Burnham Family Medicine 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2006-06-08

Office Location

Street Address 3152 NORTH UNIVERSITY AVE
SUITE 120
City PROVO
State UT
Zip Code 84604

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NPI Name Taxonomy Address Enumeration
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1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
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1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
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1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164049201 Makenzie Bishop Physician Assistant 1077 S 810 E, Provo, UT 84606-6390 2020-07-05
1821643974 Michael Riding Physician Assistant 781 N 1100 E, Provo, UT 84606-2054 2019-08-06
1871147306 Heather Robson Dunford Physician Assistant 1055 N 500 W # 100, Provo, UT 84604-3305 2019-08-01
1730741414 Griffith Jones Physician Assistant 94 S 700 E, Provo, UT 84606-4912 2019-07-02
1770091241 Scott Schultz Physician Assistant 1055 N 500 W Ste 121, Building C, Provo, UT 86404 2018-01-17
1881106359 Kathryn R. Lovell Physician Assistant 465 N 300 W Apt 22, Provo, UT 84601-2797 2017-10-24
1558766014 Nancy Huber Physician Assistant Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 2014-10-27
1386980597 Preston Gray Physician Assistant 2230 North University Parkway #1a, Provo, UT 84604 2012-12-14
1093088445 Laurie Melissa Centeno Physician Assistant 1157 N 300 W Ste 201, Provo, UT 84604-6124 2012-02-15
1982881181 Darron Terry Smith Physician Assistant 191 N 900 E, Provo, UT 84606-3537 2008-01-30
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Competitor

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City PROVO
Zip Code 84604

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Dataset Information

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.

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