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WASATCH NEUROLOGICAL SURGERY PC
NPI 1346410073
Specialist in Bountiful, UT

Active since March 10, 2008
3401 S HIGHWAY 89, BOUNTIFUL, UT 84010(801) 295-2438(866) 630-0782 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wasatch Neurological Surgery Pc NPPES

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

WASATCH NEUROLOGICAL SURGERY PC (NPI 1346410073) is a healthcare organization registered as a specialist in Bountiful, Utah and active in the NPI registry since March 2008. The organization lists Brent Lee Clyde, Owner, as its authorized official.

NPPES Registry Identity

NPI1346410073
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWASATCH NEUROLOGICAL SURGERY PC
Location Address3401 S HIGHWAY 89Bountiful, UT 84010-8517
Mailing Address3401 S Highway 89Bountiful, UT 84010-8517 · (801) 295-2438 · Fax (866) 630-0782
Phone(801) 295-2438
Fax(866) 630-0782
Organization SubpartNo
Authorized OfficialBrent Lee ClydeOwner · (801) 295-2438
Enumeration DateMarch 10, 2008
Last NPPES UpdateMay 1, 2008
✔ NPI 1346410073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in UT · 48219121205
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3401 S HIGHWAY 89, Bountiful, UT 84010
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Other Identifiers 2

Medicare UPING52536UT
Medicare PIN000058023UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

AXIA INTERNATIONAL LLC
Clinic/Center (Multi-Specialty)
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (385) 355-7600
KENNETH S YONEMURA M D P S
Specialist
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (801) 295-2438
EBRAINMD, LLC
Specialist
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (801) 295-2438
TRANSPORT SOLUTIONS
Non-emergency Medical Transport (VAN)
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (801) 774-9018

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 Wasatch Neurological Surgery PC's NPI number?

The NPI number for Wasatch Neurological Surgery PC is 1346410073. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Wasatch Neurological Surgery PC located?

Wasatch Neurological Surgery PC is located at 3401 S Highway 89, Bountiful, UT 84010. The listed phone number is (801) 295-2438.

What is Wasatch Neurological Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Wasatch Neurological Surgery PC was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.