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DR. J. BRYAN ELLSWORTH M.D. NPI 1083619043


NPI Information

NPI: 1083619043
Provider Name: DR. J. BRYAN ELLSWORTH, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
736 S 900 E STE 108
ST GEORGE, UT
ZIP 84790
Phone: (435) 628-3606
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DR. J. Bryan Ellsworth, M.D. is a specialist in St George, UT with 33 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. J. Bryan Ellsworth, M.D. NPI is 1083619043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

736 S 900 E STE 108
ST GEORGE, UT
ZIP 84790
Phone: (435) 628-3606
Fax: (435) 628-8404

The NPI 1083619043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)
  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Ultrasound of rectum (HCPCS:76872)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Biopsy of prostate gland (HCPCS:55700)
  • Insertion of stent in urinary duct (ureter) using an endoscope (HCPCS:52332)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 6/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology15297NEVADANo
2174400000XSpecialist188550-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
168471OTHERUTAHPEHP
26411882OTHERUTAHCIGNA
3QM0000076522OTHERUTAHALTIUS
418855012000001OTHERUTAHBC BS
5107011798101OTHERUTAHIHC
6870562879ELLOTHERUTAHEMIA
7751575OTHERUTAHDMBA
8V108245OTHERNEVADAMEDICARE ID FOR NEVADA PRACTICE LOCATION
9005575530OTHERUTAHHUMANA
10340020123OTHERUTAHRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.