THE BLADDER CLINIC LLC NPI 1992550974

NPI Information

  • NPI: 1992550974
  • Provider Name: THE BLADDER CLINIC LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1551 RENAISSANCE TOWNE DR STE 460
    BOUNTIFUL, UT
    ZIP 84010
  • Phone: (844) 764-7633

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NPI Details

THE BLADDER CLINIC LLC is an urology in Bountiful, 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. THE BLADDER CLINIC LLC NPI is 1992550974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1551 RENAISSANCE TOWNE DR STE 460
BOUNTIFUL, UT
ZIP 84010-672
Phone: (844) 764-7633
Fax: (385) 252-3338

The provider's authorized official is Carey Shimada .
The authorized official title is Credentialing Specialist and has the following contact phone number (801) 628-8260.

The enumeration date for this NPI number is 4/22/2024 and was last updated on 9/3/2025.

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
1208800000XUrologyYes

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: 11/21/2025

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