BRYAN HOLDER
NPI 1336556638
Substance Abuse Rehabilitation Facility in Moroni, UT

Q: What is Bryan Holder's NPI number?

The NPI number for Bryan Holder is 1336556638. It was assigned to this individual provider in the NPPES registry on July 18, 2014.

Q: What is Bryan Holder's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Holder was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 18, 2014

21360 N 1460 E, MORONI, UT 84646(435) 445-5200(435) 445-5201 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bryan Holder NPPES

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

BRYAN HOLDER (NPI 1336556638) is an individual substance abuse rehabilitation facility provider in Moroni, Utah and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1336556638

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameBRYAN HOLDER

Location Address21360 N 1460 EMoroni, UT 84646-0461

Mailing AddressPo Box 461Moroni, UT 84646-0461 · (435) 445-5200 · Fax (435) 445-5201

Phone(435) 445-5200

Fax(435) 445-5201

Sole ProprietorYes

Enumeration DateJuly 18, 2014

✔ NPI 1336556638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

21360 N 1460 E, Moroni, UT 84646

Open in Google Maps ↗

Other Identifiers 1

Medicaid1235458555UT

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 Bryan Holder's NPI number?

The NPI number for Bryan Holder is 1336556638. It was assigned to this individual provider in the NPPES registry on July 18, 2014.

Where is Bryan Holder located?

Bryan Holder practices at 21360 N 1460 E, Moroni, UT 84646. The listed phone number is (435) 445-5200.

What is Bryan Holder's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Bryan Holder was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.