Brigham Anesthesia, LLC
NPI 1710904800ActiveOrganization· Anesthesiology· Brigham City, UT
Anesthesiology in Brigham City, Utah, registered in NPPES in July 2006. The authorized official on file is Joel Gardner, Member Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710904800 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2006 |
| Last updated in NPPES | Sep 17, 2024 |
| Certified by provider | Sep 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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