Dr Jan B Bernhisel-broadbent, MD | |
5323 S Woodrow St, Murray, UT 84107-5841 | |
(801) 965-3600 | |
Not Available |
Full Name | Dr Jan B Bernhisel-broadbent |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 41 Years |
Location | 5323 S Woodrow St, Murray, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265487300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207KA0200X | Allergy & Immunology - Allergy | 2673071205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granger Medical Clinic Pc | 3476465691 | 149 |
Granger Medical Specialists Llc | 4587074356 | 155 |
Entity Name | Granger Medical Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Granger Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Mailing Address | Practice Location Address |
---|---|
Dr Jan B Bernhisel-broadbent, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Jan B Bernhisel-broadbent, MD 5323 S Woodrow St, Murray, UT 84107-5841 Ph: (801) 965-3600 |
Mr. Dorian J Carroll, PA-C Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6095 Fashion Blvd Ste 100, Murray, UT 84107 Phone: 801-263-8700 Fax: 801-263-8693 | |
Dr. David Scott Gourley, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 6065 S Fashion Blvd, Ste 255, Murray, UT 84107 Phone: 801-266-4115 Fax: 801-266-4138 | |
Loida Viera-hutchins, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5296 S Commerce Dr, Murray, UT 84107 Phone: 801-773-4840 Fax: 801-525-8151 |