Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADAM GARY SHURTLIFF DPM
NPI 1124710280
Podiatrist - Foot & Ankle Surgery in Bountiful, UT

Active since May 25, 2023PECOS Enrolled
520 MEDICAL DR STE 230, BOUNTIFUL, UT 84010(801) 292-5070 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Gary Shurtliff Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM GARY SHURTLIFF DPM (NPI 1124710280) is an individual foot & ankle surgery provider in Bountiful, Utah, licensed in Utah (14267588-0501) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Parma.

NPPES Registry Identity

NPI1124710280
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameADAM GARY SHURTLIFFCredential: DPM
Location Address520 MEDICAL DR STE 230Bountiful, UT 84010-8932
Mailing AddressPo Box 849795Los Angeles, CA 90084-9795
Sole ProprietorNo
Enumeration DateMay 25, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1124710280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in UT · 14267588-0501
520 MEDICAL DR STE 230, Bountiful, UT 84010

Secondary Practice Location 1

Location 19304 Snow RdParma, OH 44130-2125 · Phone (801) 717-7279

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Adam Gary Shurtliff Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
520 MEDICAL DR STE 230
BOUNTIFUL, UT 84010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Shurtliff's NPI number?

The NPI number for Adam Shurtliff is 1124710280. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Adam Shurtliff located?

Adam Shurtliff practices at 520 Medical Dr Ste 230, Bountiful, UT 84010. The listed phone number is (801) 292-5070.

What is Adam Shurtliff's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Adam Shurtliff enrolled in Medicare?

Yes. Adam Shurtliff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Shurtliff was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.