MARK R BRIESACHER MD
NPI 1154333029
Pediatrics in Salt Lake City, UT

Q: What is Mark Briesacher's NPI number?

The NPI number for Mark Briesacher is 1154333029. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Mark Briesacher's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Briesacher was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since August 12, 2006PECOS Enrolled

2180 E 4500 S, #210, SALT LAKE CITY, UT 84117(801) 278-4719 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark R Briesacher Md NPPES

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

MARK R BRIESACHER MD (NPI 1154333029) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (932637891205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154333029

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMARK R BRIESACHERCredential: MD

Location Address2180 E 4500 S, #210Salt Lake City, UT 84117-4434

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 278-4719

Phone(801) 278-4719

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateDecember 1, 2008

✔ NPI 1154333029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 932637891205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2180 E 4500 S, Salt Lake City, UT 84117

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Other Identifiers 1

Medicare PIN000063084UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark R Briesacher Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CENTER FOR COUNSELING EXCELLENCE

Community/Behavioral Health

2180 E 4500 S, SUITE 105
HOLLADAY, UT 84117

Salt Lake County (801) 980-1343

KAITLYN SHYANNE WININGER LMT

Massage Therapist

2180 E 4500 S
HOLLADAY, UT 84117

Salt Lake County (801) 592-6588

DR. J. JOSHUA SMITH DMD

Dentist (General Practice)

2180 E 4500 S, SUITE #250
SALT LAKE CITY, UT 84117

Salt Lake County (801) 272-8609

SMART DENTAL CARE

Dentist

2180 E 4500 S
SALT LAKE CITY, UT 84117

Salt Lake County (801) 272-8609

GOLDEN HEALTH SERVICES

Hospice Care, Community Based

2180 E 4500 S, STE 210 F
HOLLADAY, UT 84117

Salt Lake County (801) 996-8690

THE HEALING GROUP, PC

Community/Behavioral Health

2180 E 4500 S, SUITE 165
HOLLADAY, UT 84117

Salt Lake County (801) 461-9060

DR. JAYNE ELIZABETH CLARK M.D.

Physical Medicine & Rehabilitation

2180 E 4500 S, SUITE #185
HOLLADAY, UT 84117

Salt Lake County (801) 272-6972

JENNIFER LINFORD MD

Pediatrics

2180 E 4500 S, #210
SALT LAKE CITY, UT 84117

Salt Lake County (801) 278-4719

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 Mark Briesacher's NPI number?

The NPI number for Mark Briesacher is 1154333029. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Mark Briesacher located?

Mark Briesacher practices at 2180 E 4500 S #210, Salt Lake City, UT 84117. The listed phone number is (801) 278-4719.

What is Mark Briesacher's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Briesacher enrolled in Medicare?

Yes. Mark Briesacher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Briesacher was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.