BRIAN W FUKUSHIMA MD PC
NPI 1295919728
Orthopaedic Surgery - Sports Medicine in Murray, UT

Active since December 19, 2007
5323 SOUTH WOODROW STREET, SUITE 200, MURRAY, UT 84107(801) 747-1020(801) 747-1023 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian W Fukushima Md Pc NPPES

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

BRIAN W FUKUSHIMA MD PC (NPI 1295919728) is a healthcare organization registered as a sports medicine in Murray, Utah and active in the NPI registry since December 2007. The organization lists Katie Benard, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295919728
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameBRIAN W FUKUSHIMA MD PC
Location Address5323 SOUTH WOODROW STREET, SUITE 200Murray, UT 84107
Mailing Address5323 South Woodrow Street, Suite 200Murray, UT 84107 · (801) 747-1020 · Fax (801) 747-1023
Fax(801) 747-1023
Organization SubpartNo
Authorized OfficialKatie BenardOffice Manager · (801) 747-1020
Enumeration DateDecember 19, 2007
Last NPPES UpdateMarch 4, 2011
✔ NPI 1295919728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in UT · 5280409-1205
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
5323 SOUTH WOODROW STREET, Murray, UT 84107

Other Identifiers 2

Medicare UPINH96575UT
Medicare PIN000057724UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian W Fukushima Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian W Fukushima MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1073543740
5316 S WOODROW ST STE 200
Murray, UT 84107
(801) 747-1020
✔ PECOS✔ Accepts MedicareSame address

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

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 Brian W Fukushima MD PC's NPI number?

The NPI number for Brian W Fukushima MD PC is 1295919728. It was assigned to this organization in the NPPES registry on December 19, 2007.

Where is Brian W Fukushima MD PC located?

Brian W Fukushima MD PC is located at 5323 South Woodrow Street Suite 200, Murray, UT 84107. The listed phone number is (801) 747-1020.

What is Brian W Fukushima MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Brian W Fukushima MD PC enrolled in Medicare?

Yes. Brian W Fukushima MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian W Fukushima MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Brian W Fukushima MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brian W Fukushima MD PC was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.