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ROBERT W. JORDAN MD PC
NPI 1356506455
Specialist in Bountiful, UT

Active since July 28, 2008
1551 RENAISSANCE TOWNE DR, SUITE 400, BOUNTIFUL, UT 84010(801) 295-7200(801) 295-4930 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert W. Jordan Md Pc NPPES

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

ROBERT W. JORDAN MD PC (NPI 1356506455) is a healthcare organization registered as a specialist in Bountiful, Utah and active in the NPI registry since July 2008. The organization lists Robert W Jordan, Corporate President, as its authorized official.

NPPES Registry Identity

NPI1356506455
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROBERT W. JORDAN MD PC
Location Address1551 RENAISSANCE TOWNE DR, SUITE 400Bountiful, UT 84010-7667
Mailing Address1551 Renaissance Towne Dr, Suite 400Bountiful, UT 84010-7667 · (801) 295-7200 · Fax (801) 295-4930
Phone(801) 295-7200
Fax(801) 295-4930
Organization SubpartNo
Authorized OfficialRobert W JordanCorporate President · (801) 295-7200
Enumeration DateJuly 28, 2008
Last NPPES UpdateApril 30, 2009
✔ NPI 1356506455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in UT · 166068-1205
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.

1551 RENAISSANCE TOWNE DR, Bountiful, UT 84010
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Other Identifiers 1

Medicare UPIND07361UT

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 20

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

JILL FREITAS CALDERWOOD AU.D.
Audiologist
1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010
Davis County (801) 295-5581
COMPREHENSIVE IMAGING SERVICES LLC
Radiology (Diagnostic Radiology)
1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010
Davis County (801) 298-7272
BRANDI MARIE HARRIS
Physician Assistant
1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010
Davis County (801) 295-7200
JORDAN SCOTT CARVER PHARMD
Pharmacist
1551 RENAISSANCE TOWNE DR, #104
BOUNTIFUL, UT 84010
Davis County (801) 295-6979
DR. MARK L NELSON D.D.S
Dentist (Pediatric Dentistry)
1551 RENAISSANCE TOWNE DR, SUITE 540
BOUNTIFUL, UT 84010
Davis County (801) 295-8322
CHILDREN'S DENTISTRY
Dentist (Pediatric Dentistry)
1551 RENAISSANCE TOWNE DR, STE 540
BOUNTIFUL, UT 84010
Davis County (801) 295-8322
CURT ROBERT STOCK M.D.
Otolaryngology
1551 RENAISSANCE TOWNE DR, SUITE 310
BOUNTIFUL, UT 84010
Davis County (801) 295-5581
JARED J TYSON MD PC
Specialist
1551 RENAISSANCE TOWNE DR, SUITE 400
BOUNTIFUL, UT 84010
Davis County (801) 295-7200

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 Robert W. Jordan MD PC's NPI number?

The NPI number for Robert W. Jordan MD PC is 1356506455. It was assigned to this organization in the NPPES registry on July 28, 2008.

Where is Robert W. Jordan MD PC located?

Robert W. Jordan MD PC is located at 1551 Renaissance Towne Dr Suite 400, Bountiful, UT 84010. The listed phone number is (801) 295-7200.

What is Robert W. Jordan MD 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 Robert W. Jordan MD PC was last updated on April 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.