Individual
BRYAN R. BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 MEDICAL DR STE 200, BOUNTIFUL, UT 84010
(801) 299-7800
Mailing address
PO BOX 1468, BOUNTIFUL, UT 84011-1468
(801) 299-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
308222-1204
UT
208M00000X
Hospitalist Physician
Primary
308222-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6955
—
UT
01
—
P00807099
RAILROAD MEDICARE
UT
Enumeration date
09/23/2006
Last updated
05/15/2018
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