Bryan L Nelson (NPI# 1346265477, PAC ID# 4385548155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1346265477 |
| PAC ID by PECOS | 4385548155 |
| Professional Enrollment ID | I20040818000251 |
| Full Name | Bryan L Nelson |
| Organization Legal Name | FOOTHILL CLINIC, LLC |
| Address |
2295 Foothill Dr Salt Lake City UT 84109-4000 |
| Phone Number | 8014863021 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9931003795 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 8014863021 | FOOTHILL CLINIC, LLC |
| 6360 S 3000 E, Suite 100, Salt Lake City, UT 84121-6924 | 8013651032 | FOOTHILL CLINIC, LLC |
| Organization Legal Name | FOOTHILL CLINIC, LLC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Wilkinson | Family Medicine | Foothill Clinic, LLC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| Benjamin A Thomas | Podiatry | Foothill Clinic, LLC | 6360 S 3000 E, Suite 100, Salt Lake City, UT 84121-6924 |
| Wesley J Lewis | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Heather Jackson | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| James P Longe | General Practice | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Diana Grazulis | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Jacqueline L Rohrer | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Jose Azarcon Jr. | Family Medicine | Foothill Clinic, LLC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| James T Peterson | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Gina B Cox | Family Medicine | Foothill Clinic, LLC | 6360 S 3000 E, Suite 100, Salt Lake City, UT 84121-6924 |
| Street Address |
2295 FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84109-4000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley J Lewis | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Heather Jackson | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| James P Longe | General Practice | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Diana Grazulis | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Jacqueline L Rohrer | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| James T Peterson | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Jack A Taylor | General Practice | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Stephen D Wood | General Practice | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Alexander Clark | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Dorothy L Williams | Neurology | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jan R Magdalen | Clinical Social Worker | 2071 E Ashton Cir, Salt Lake City, UT 84109-1103 | |
| Sara A Wells | Family Medicine | 2131 E 2100, Salt Lake City, UT 84109-1128 | |
| Matthew T Holmes | Chiropractic | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 | |
| Mark R Moeller | Physical Therapy | Alpine Sports Medicine LLC | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 |
| Ann C Rauscher | Physical Therapy | Alpine Sports Medicine LLC | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 |
| Diane B Young | Nurse Practitioner | 3018 E 3300, Salt Lake City, UT 84109-2144 | |
| Kent C Kravitz | Clinical Social Worker | 3090 E 3300 S, 2b, Salt Lake City, UT 84109-2161 | |
| Stephen B Morris | Psychologist, Clinical | 3167 E Louise Ave, Salt Lake City, UT 84109-2224 | |
| Ryan C Hemming | Occupational Therapy | Western Summit Rehabilitation LLC | 3257 E 3300, Salt Lake City, UT 84109-2246 |
| James I Grant | Chiropractic | 2189 E 3300, Salt Lake City, UT 84109-2666 | |
| Find all physicians in zip 84109 | |||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SALT LAKE CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bryan L Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.