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DR. BRYAN B BUSHMAN PHD NPI 1831346170


NPI Information

NPI: 1831346170
Provider Name: DR. BRYAN B BUSHMAN, PHD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

PECOS Registration: Yes

Address:
5030 HARRISON BLVD
OGDEN, UT
ZIP 84403
Phone: (801) 387-5600
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DR. Bryan B Bushman, PHD is a clinical child and adolescent psychologist in Ogden, UT with 17 years of experience. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Bryan B Bushman, PHD NPI is 1831346170. 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:

5030 HARRISON BLVD
OGDEN, UT
ZIP 84403-311
Phone: (801) 387-5600

The NPI 1831346170 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.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 12/5/2012.


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
1103TC2200XPsychologistClinical Child & AdolescentNo
2103TC2200XPsychologistClinical Child & Adolescent5842642-2501UTAHYes

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
1000065000MEDICARE PINUTAH

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

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