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BRUCE A. BOLONESI PA-C
NPI 1619928199
Physician Assistant in Murray, UT

Active since May 12, 2006
5131 COTTONWOOD ST # L-2, MURRAY, UT 84107(801) 263-3416 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce A. Bolonesi Pa-c NPPES

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

BRUCE A. BOLONESI PA-C (NPI 1619928199) is an individual physician assistant in Murray, Utah, licensed in Utah (106591-1206) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619928199
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRUCE A. BOLONESICredential: PA-C
Location Address5131 COTTONWOOD ST # L-2Murray, UT 84107-5701
Mailing Address1121 E 3900 S, Suite C-240Salt Lake City, UT 84124-1214 · (801) 263-3416
Phone(801) 263-3416
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateOctober 17, 2011
✔ NPI 1619928199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 106591-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5131 COTTONWOOD ST # L-2, Murray, UT 84107
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Other Identifiers 3

Medicare PIN005717224UT
Other270286UT · Altius
Medicare UPINS24856UT

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 Bruce Bolonesi's NPI number?

The NPI number for Bruce Bolonesi is 1619928199. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Bruce Bolonesi located?

Bruce Bolonesi practices at 5131 Cottonwood St # L-2, Murray, UT 84107. The listed phone number is (801) 263-3416.

What is Bruce Bolonesi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bruce Bolonesi was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.