Anthony Wayne Bacon, M.D.

Trauma Surgery Physician · Murray, UT

Individual Active NPI

NPI number 1154611986

Practice location

5169 S Cottonwood St Ste 400
Murray, UT 84107-6769
Phone
(801) 507-3460

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NPI record

NPI
1154611986
Entity type
Individual (Type 1)
Enumeration date
April 13, 2011
Last updated
April 13, 2026
Certified
April 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Trauma Surgery Physician Primary 2086S0127X 11275378-1205 UT
Surgical Critical Care Physician 2086S0102X 11275378-1205 UT
Surgery Physician 208600000X 11275378-1205 UT

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone
(801) 507-3460

Other practice locations (1)

  • 5121 S Cottonwood St, Murray, UT 84107-5701 · (801) 442-2000

About Dr. Bacon

Anthony Wayne Bacon, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Trauma Surgery Physician (code 2086S0127X). The practice location is 5169 S Cottonwood St Ste 400, Murray, UT 84107-6769. The NPI number 1154611986 was assigned on April 13, 2011 and the record was last updated on April 13, 2026.

Dr. Bacon lists 3 licenses in the registry: #11275378-1205 (UT) for Trauma Surgery Physician; #11275378-1205 (UT) for Surgical Critical Care Physician; #11275378-1205 (UT) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony Wayne Bacon, M.D.?

The NPI number is 1154611986.

What is the phone number of Dr. Bacon?

The phone number listed for the practice location is (801) 507-3460.

Where is Dr. Bacon located?

5169 S Cottonwood St Ste 400, Murray, UT 84107-6769.

What is the taxonomy code for Dr. Bacon?

The primary taxonomy code is 2086S0127X – Trauma Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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