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BRYCE DEE ALLRED MD A PC
NPI 1366803736
Clinic/Center in West Jordan, UT

Active since March 14, 2016
3584 W 9000 S, SUITE 400, WEST JORDAN, UT 84088(801) 569-2456(801) 569-2080 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2016, Mar 14, 2016 (2 updates tracked since 2016).

About Bryce Dee Allred Md A Pc NPPES

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

BRYCE DEE ALLRED MD A PC (NPI 1366803736) is a healthcare organization registered as a clinic/center in West Jordan, Utah and active in the NPI registry since March 2016. The organization lists Bryce Dee Allred, President, as its authorized official.

NPPES Registry Identity

NPI1366803736
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRYCE DEE ALLRED MD A PC
Location Address3584 W 9000 S, SUITE 400West Jordan, UT 84088-5710
Mailing Address3584 W 9000 S, Suite 400West Jordan, UT 84088-5710 · (801) 569-2456 · Fax (801) 569-2080
Phone(801) 569-2456
Fax(801) 569-2080
Organization SubpartNo
Authorized OfficialBryce Dee AllredPresident · (801) 569-2456
Enumeration DateMarch 14, 2016
Last NPPES UpdateMay 13, 20162 updates tracked since enumeration
✔ NPI 1366803736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3584 W 9000 S, West Jordan, UT 84088
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Other Identifiers 2

Medicaid5295820700000UT
Medicare UPIND07525UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryce Dee Allred Md A Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20210208002435Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bryce Dee Allred MD A PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryce Allred, M.D,
Plastic and Reconstructive Surgery
NPI 1548317589
3584 W 9000 S SUITE 400
West Jordan, UT 84088
(801) 569-2456
✔ PECOS✔ Accepts Medicare0.5 mi

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 Bryce Dee Allred MD A PC's NPI number?

The NPI number for Bryce Dee Allred MD A PC is 1366803736. It was assigned to this organization in the NPPES registry on March 14, 2016.

Where is Bryce Dee Allred MD A PC located?

Bryce Dee Allred MD A PC is located at 3584 W 9000 S Suite 400, West Jordan, UT 84088. The listed phone number is (801) 569-2456.

What is Bryce Dee Allred MD A PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Bryce Dee Allred MD A PC enrolled in Medicare?

Yes. Bryce Dee Allred MD A PC is registered in the Medicare PECOS enrollment system.

When is Bryce Dee Allred MD A PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bryce Dee Allred MD A PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Bryce Dee Allred MD A 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 Bryce Dee Allred MD A PC was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.