Organization
EBRAINMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT LEE CLYDE M.D. (OWNER)
(801) 295-2438
Entity
Organization
Contact information
Practice address
3401 S HIGHWAY 89, BOUNTIFUL, UT 84010-8517
(801) 295-2438
(800) 558-1912
Mailing address
3401 S HIGHWAY 89, BOUNTIFUL, UT 84010-8517
(801) 295-2438
(800) 558-1912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6555A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117443600
—
WY
Enumeration date
03/10/2008
Last updated
04/14/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us