BRIAN P TUDOR MD
NPI 1699877308
Internal Medicine - Hematology & Oncology in Provo, UT

Active since September 02, 2006
1055 N 500 W, SUITE 202, PROVO, UT 84604(801) 354-8225(801) 429-8150 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian P Tudor Md NPPES

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

BRIAN P TUDOR MD (NPI 1699877308) is an individual hematology & oncology provider in Provo, Utah, licensed in Utah (1658161205) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1699877308
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameBRIAN P TUDORCredential: MD
Location Address1055 N 500 W, SUITE 202Provo, UT 84604-3305
Mailing Address1055 N 500 W, Credentialing DepartmentProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 429-8150
Fax(801) 429-8150
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1699877308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in UT · 1658161205
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1055 N 500 W, Provo, UT 84604

Other Identifiers 7

Other107006264101UT · Ihc
Medicaid870281028000UT
Other14055UT · Pehp
Other30-00029UT · United Healthcare
Other870281028TU1UT · Emia
OtherQM0000009167UT · Altius
Other110019670UT · Palmetto

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.

Family Medicine
1055 N 500 W
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Internal Medicine
1055 N 500 W
PROVO, UT 84604

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 Brian Tudor's NPI number?

The NPI number for Brian Tudor is 1699877308. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Brian Tudor located?

Brian Tudor practices at 1055 N 500 W Suite 202, Provo, UT 84604. The listed phone number is (801) 354-8225.

What is Brian Tudor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Brian Tudor was last updated on October 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.