BRUCE GROVER M.D. NPI 1659391704

NPI Information

  • NPI: 1659391704
  • Provider Name: BRUCE GROVER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 589 SOUTH STATE STREET
    PROVO, UT
    ZIP 84606
  • Phone: (801) 429-2000

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NPI Details

Bruce Grover, M.D. is a family medicine in Provo, UT with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bruce Grover, M.D. NPI is 1659391704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

589 SOUTH STATE STREET
PROVO, UT
ZIP 84606-056
Phone: (801) 429-2000
Fax: (801) 429-2001

The NPI 1659391704 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 7/20/2006 and was last updated on 5/20/2024.

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
1207VX0000XObstetrics & GynecologyObstetrics2634241205UTAHNo
2207Q00000XFamily Medicine2634241205UTAHYes

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
1870515716004MEDICAIDUTAH
2870515716GR1OTHERUTAHEMIA
35935032OTHERUTAHAETNA
4870515716018MEDICAIDUTAH
5107007185101OTHERUTAHSELECT HEALTH
637767OTHERUTAHCHIP MEDICAID/PEHP
7870515716OTHERUTAHGEHA
80101858OTHERUTAHUNITED HEALTH CARE
9D0282OTHERUTAHMEDICAID LICENSE #
10870515716OTHERUTAHBEECH STREET CORP

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: 3/30/2025

NPI Synchronization or Removal

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