BRIAN A VERNON MD
NPI 1265639280
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Providence, UT

Q: What is Brian Vernon's NPI number?

The NPI number for Brian Vernon is 1265639280. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Q: What is Brian Vernon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Brian Vernon was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 02, 2007PECOS EnrolledAccepts Medicare Assignment

595 W 465 N, PROVIDENCE, UT 84332(385) 238-3900(385) 238-3901 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Sep 23, 2021, Apr 3, 2019 and 1 more (4 updates tracked since 2019).

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About Brian A Vernon Md NPPES

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

BRIAN A VERNON MD (NPI 1265639280) is an individual orthopaedic surgery of the spine provider in Providence, Utah, licensed in Utah (8591609-1205) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Bear Lake Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2007).

NPPES Registry Identity

NPI1265639280

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameBRIAN A VERNONCredential: MD

Location Address595 W 465 NProvidence, UT 84332

Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3500 · Fax (801) 475-3494

Phone(385) 238-3900

Fax(385) 238-3901

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2007

Enumeration DateJuly 2, 2007

Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1265639280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in UT · 8591609-1205

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 8591609-1205 (UT)

595 W 465 N, Providence, UT 84332

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian A Vernon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022267210

PECOS Enrollment IDI20130724000728

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Vernon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ogden Clinic Specialty Services LLC

37 mi

Sports Medicine

4650 HARRISON BLVD
Ogden, UT 84403

Reassigned Medicare billing, Utah enrollment
126 clinicians in this Medicare group

NPI 1114203668 (801) 475-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

37 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services20 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

20 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID

OwnershipGovernment - Local

CMS Certification Number131316

Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County

Emergency services

Franklin County Medical Center

Critical Access Hospitals · Preston, ID

OwnershipVoluntary non-profit - Other

CMS Certification Number131322

Location44 North First EastPreston, ID 83263 · Franklin County

Emergency services

Logan Regional Hospital

Acute Care Hospitals · Logan, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460015

Location1400 North 500 EastLogan, UT 84341 · Cache County

Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT

OwnershipProprietary

CMS Certification Number460054

Location2380 North 400 EastNorth Logan, UT 84341 · Cache County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

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