Brenten C Pugh (NPI# 1891742508, PAC ID# 9931153483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891742508 |
| PAC ID by PECOS | 9931153483 |
| Professional Enrollment ID | I20050308000416 |
| Full Name | Brenten C Pugh |
| Organization Legal Name | JORDAN LANDING FAMILY MEDICINE LLC |
| Address |
3895 W 7800 Suite 100 West Jordan UT 84088-5616 |
| Phone Number | 8012807774 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193825131 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3895 W 7800, Suite 100, West Jordan, UT 84088-5616 | 8012807774 | JORDAN LANDING FAMILY MEDICINE LLC |
| Organization Legal Name | JORDAN LANDING FAMILY MEDICINE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liana Olivia Kinikini | Nurse Practitioner | Jordan Landing Family Medicine LLC | 3895 W 7800, Suite 100, West Jordan, UT 84088-5616 |
| Dennis R Hamp | Family Medicine | Jordan Landing Family Medicine LLC | 3895 W 7800, Suite 100, West Jordan, UT 84088-5616 |
| Street Address |
3895 W 7800 SUITE 100 |
| City | WEST JORDAN |
| State | UT |
| Zip | 84088-5616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liana Olivia Kinikini | Nurse Practitioner | Jordan Landing Family Medicine LLC | 3895 W 7800, Suite 100, West Jordan, UT 84088-5616 |
| Dennis R Hamp | Family Medicine | Jordan Landing Family Medicine LLC | 3895 W 7800, Suite 100, West Jordan, UT 84088-5616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier Eduardo Chavez | Obstetrics/gynecology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Leo Berkenbile | Emergency Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Ryan Leonard | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Brandon Allen | Family Medicine | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Edwin W Aldous | Otolaryngology | Granger Medical Clinic Inc | 3181 S 9000, West Jordan, UT 84088 |
| Jon Aaron Christensen | Chiropractic | 3075 W 7800, West Jordan, UT 84088-2802 | |
| David R Hillam | Family Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Jenny Louise Mckay | Nurse Practitioner | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| William J Walsh | Internal Medicine | Salson Clinics LLC | 1745 W 7800, West Jordan, UT 84088-4017 |
| Bryan D Gordon | Chiropractic | 2618 W 7800, Suite 200, West Jordan, UT 84088-4213 | |
| Find all physicians in zip 84088 | |||
| City | WEST JORDAN |
| Zip Code | 84088 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEST JORDAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brenten C Pugh.
| 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.