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Bountiful Diabetes Clinic LLC

NPI 1043456999ActiveOrganization· Specialist· Bountiful, UT

Specialist in Bountiful, Utah, registered in NPPES in December 2008. The authorized official on file is Albert Brown, Owner.

Overview

NPI1043456999
StatusActive
Entity typeOrganization
NPI issuedDec 24, 2008
Last updated in NPPESDec 24, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X200836457UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Bountiful

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