Ebrainmd, LLC

Specialist · Bountiful, UT

Organization Active NPI

NPI number 1811167547

Practice location

3401 S Highway 89
Bountiful, UT 84010-8517
Phone
(801) 295-2438
Fax
(800) 558-1912

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NPI record

NPI
1811167547
Entity type
Organization (Type 2)
Enumeration date
March 10, 2008
Last updated
April 14, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 6555A WY

Authorized official

Name
Dr. Brent Lee Clyde, M.D.
Title
Owner
Phone
(801) 295-2438

About Ebrainmd, LLC

Ebrainmd, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 3401 S Highway 89, Bountiful, UT 84010-8517. The NPI number 1811167547 was assigned on March 10, 2008 and the record was last updated on April 14, 2016.

Ebrainmd, LLC lists a license in the registry: #6555A (WY) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Brent Lee Clyde, M.D., Owner.

Frequently asked questions

What is the NPI number of Ebrainmd, LLC?

The NPI number is 1811167547.

What is the phone number of Ebrainmd, LLC?

The phone number listed for the practice location is (801) 295-2438.

Where is Ebrainmd, LLC located?

3401 S Highway 89, Bountiful, UT 84010-8517.

What is the taxonomy code for Ebrainmd, LLC?

The primary taxonomy code is 174400000X – Specialist.

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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