Provider Type Icon

BRIAN W HEATON MD PC NPI 1083886840


NPI Information

NPI: 1083886840
Provider Name: BRIAN W HEATON MD PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
4403 HARRISON BLVD
SUITE 4400
OGDEN, UT
ZIP 84403
Phone: (801) 387-4550
Get Directions

BRIAN W HEATON MD PC is an urology in Ogden, UT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BRIAN W HEATON MD PC NPI is 1083886840. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4403 HARRISON BLVD
SUITE 4400
OGDEN, UT
ZIP 84403-271
Phone: (801) 387-4550
Fax: (801) 387-4565

The provider's authorized official is Brian W Heaton .
The authorized official title is President and has the following contact phone number (807) 387-4550.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/1/2008.


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
1208800000XUrology181028-1205UTAHYes

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
1528908750009MEDICAIDUTAH
2F60970MEDICARE UPINUTAH

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.