Bryan Ellertson, MD

Pediatrics Physician · Layton, UT

Individual Active NPI

NPI number 1881989143

Practice location

2121 N 1700 W
Layton, UT 84041-8803
Phone
(801) 773-4840
Fax
(801) 525-8151

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NPI record

NPI
1881989143
Entity type
Individual (Type 1)
Enumeration date
June 15, 2011
Last updated
December 8, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 89635601205 UT

Mailing address

PO Box 337
Layton, UT 84041-0337
Phone
(801) 773-4840
Fax
(801) 525-8151

About Dr. Ellertson

Bryan Ellertson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2121 N 1700 W, Layton, UT 84041-8803. The NPI number 1881989143 was assigned on June 15, 2011 and the record was last updated on December 8, 2015.

Dr. Ellertson lists a license in the registry: #89635601205 (UT) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Ellertson, MD?

The NPI number is 1881989143.

What is the phone number of Dr. Ellertson?

The phone number listed for the practice location is (801) 773-4840.

Where is Dr. Ellertson located?

2121 N 1700 W, Layton, UT 84041-8803.

What is the taxonomy code for Dr. Ellertson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

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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