BRETT EARL MD NPI 1568423564

NPI Information

NPI: 1568423564
Provider Name: BRETT EARL, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
458 N 500 W
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 296-8060
Get Directions

Brett Earl, MD is a general practice in Bountiful, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Brett Earl, MD NPI is 1568423564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

458 N 500 W
BOUNTIFUL, UT
ZIP 84010-948
Phone: (801) 296-8060
Fax: (801) 296-8050

The NPI 1568423564 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 enumeration date for this NPI number is 3/29/2006 and was last updated on 11/18/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	5110301-1205	UTAH	No
2	207P00000X	Emergency Medicine		5110301-1205	UTAH	No
3	208D00000X	General Practice		5110301	UTAH	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005567117	MEDICARE ID-TYPE UNSPECIFIED	UTAH	1600 ANTELOPE DR, LAYTON
2	D4575	MEDICAID	UTAH
3	005568530	MEDICARE ID-TYPE UNSPECIFIED	UTAH	630 MEDICAL DR, BOUNTIFUL
4	005568622	MEDICARE ID-TYPE UNSPECIFIED	UTAH	1050 E SOUTH TEMPLE, SLC
5	H27510	MEDICARE UPIN	UTAH
6	005568420	MEDICARE ID-TYPE UNSPECIFIED	UTAH	3580 W 9000 S, W JORDAN
7	005568327	MEDICARE ID-TYPE UNSPECIFIED	UTAH	3460 PIONEER PKWY, WVC
8	005567217	MEDICARE ID-TYPE UNSPECIFIED	UTAH	5475 S 500 E, OGDEN

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: 5/5/2024

NPI Synchronization or Removal

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