# BRYAN BARTHOLOMEW DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023189362
- **Authorized official:** DR. BRYAN BARTHOLOMEW D.O. (PRESIDENT)
- **Authorized official phone:** (801) 294-9333

## Contact information

- **Practice address:** 520 MEDICAL DR, SUITE 200, BOUNTIFUL, UT 84010-4968
- **Practice address phone:** (801) 294-9333
- **Practice address fax:** (801) 299-7811
- **Mailing address:** 520 MEDICAL DR, SUITE 200, BOUNTIFUL, UT 84010-4968
- **Mailing address phone:** (801) 294-9333
- **Mailing address fax:** (801) 299-7811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 200632448 | UT | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 08/17/2010
