Bryan R Bartholomew, DO - Medicare Internal Medicine in Bountiful, UT

Bryan R Bartholomew, DO is a medicare enrolled "Hospitalist" physician in Bountiful, Utah. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Santibanez Pac Utah and his current practice location is 520 Medical Dr Ste 200, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 299-7800.

Bryan R Bartholomew is licensed to practice in Utah (license number 308222-1204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407956121.

Contact Information

Bryan R Bartholomew, DO
520 Medical Dr Ste 200,
Bountiful, UT 84010
(801) 299-7800
Not Available

Map and Direction




Physician's Profile

Full NameBryan R Bartholomew
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location520 Medical Dr Ste 200, Bountiful, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bryan R Bartholomew graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1407956121
  • Provider Enumeration Date: 09/23/2006
  • Last Update Date: 05/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2163429911
  • Enrollment ID: I20061108000691

Medical Identifiers

Medical identifiers for Bryan R Bartholomew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407956121NPI-NPPES
D6955MedicaidUT
P00807099OtherUTRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 308222-1204 (Utah)Secondary
208M00000XHospitalist 308222-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canyon Home CareSalt lake city, UTHome health agency
Dignity Hospice Of Utah, LlcAmerican fork, UTHospice
Avalon Care Center-bountifulBountiful, UTNursing home
Avalon Valley RehabilitationSalt lake city, UTNursing home
North Canyon Care CenterBountiful, UTNursing home
Canyon Rim Care CenterSalt lake city, UTNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santibanez Pac Utah135578543720

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bryan R Bartholomew allows following entities to bill medicare on his behalf.
Entity NameBryan Bartholomew Do Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023189362
PECOS PAC ID: 8123027059
Enrollment ID: O20061204000292
Entity NameUtah Regional Hospitalists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962821223
PECOS PAC ID: 4789807165
Enrollment ID: O20140604000236
Entity NameClaris Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356797070
PECOS PAC ID: 5496097396
Enrollment ID: O20200328000186
Entity NameUsacs Long Term Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881373090
PECOS PAC ID: 2466806062
Enrollment ID: O20231018003756
Entity NameImpact Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114428612
PECOS PAC ID: 6204199086
Enrollment ID: O20240109003187
Entity NameSantibanez Pac Utah
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881469484
PECOS PAC ID: 1355785437
Enrollment ID: O20240216000756

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan R Bartholomew is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan R Bartholomew, DO
Po Box 1468,
Bountiful, UT 84011-1468

Ph: (801) 299-7800
Bryan R Bartholomew, DO
520 Medical Dr Ste 200,
Bountiful, UT 84010

Ph: (801) 299-7800

Reviews and Comments


Hospitalist Doctors in Bountiful, UT

Mr. David Rayburn Moore, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 620 East Medical Drive #205, Bountiful, UT 84010
Phone: 801-298-0057    Fax: 801-298-9765
Scott E Southworth, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010
Phone: 801-292-1422    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.