Gary Earl Brundage

Clinical Social Worker · Roy, UT

Individual Active NPI

NPI number 1861707036

Practice location

5640 S 3500 W
Roy, UT 84067-9158
Phone
(017) 732-8388
Fax
(801) 773-3025

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NPI record

NPI
1861707036
Entity type
Individual (Type 1)
Enumeration date
August 12, 2010
Last updated
July 29, 2022
Certified
July 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 8666499-3501 UT
Clinical Social Worker 1041C0700X 7435-C NV

Mailing address

713 Hislop Dr
Ogden, UT 84404-6809
Phone
(801) 814-4376

About Gary Brundage

Gary Earl Brundage is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 5640 S 3500 W, Roy, UT 84067-9158. The NPI number 1861707036 was assigned on August 12, 2010 and the record was last updated on July 29, 2022.

Gary Brundage lists 2 licenses in the registry: #8666499-3501 (UT) for Clinical Social Worker; #7435-C (NV) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Earl Brundage?

The NPI number is 1861707036.

What is the phone number of Gary Brundage?

The phone number listed for the practice location is (017) 732-8388.

Where is Gary Brundage located?

5640 S 3500 W, Roy, UT 84067-9158.

What is the taxonomy code for Gary Brundage?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 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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