TERESA BRYNER PCPNP-BC
NPI 1720339484
Nurse Practitioner - Pediatrics in Park City, UT

Active since September 20, 2012PECOS Enrolled
900 ROUND VALLEY DR, PARK CITY, UT 84060(435) 658-7000(707) 837-0119 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2023, Nov 20, 2015 (2 updates tracked since 2015).

About Teresa Bryner Pcpnp-bc NPPES

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

TERESA BRYNER PCPNP-BC (NPI 1720339484) is an individual pediatrics provider in Park City, Utah, licensed in Utah (8262278-4405) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Park City.

NPPES Registry Identity

NPI1720339484
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTERESA BRYNERCredential: PCPNP-BC
Location Address900 ROUND VALLEY DRPark City, UT 84060-7552
Mailing Address900 Round Valley DrPark City, UT 84060-7552 · (435) 658-7000 · Fax (707) 837-0119
Fax(707) 837-0119
Sole ProprietorNo
Enumeration DateSeptember 20, 2012
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1720339484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in UT · 8262278-4405 Licensed in CA · 22371
Also ListedRegistered NurseTaxonomy 163W00000X · License 828837 (CA), R193155 (MD)
900 ROUND VALLEY DR, Park City, UT 84060

Secondary Practice Location 1

Location 1750 Round Valley Dr Ste 102Park City, UT 84060-7549 · Phone (435) 655-0926 · Fax (707) 837-0119

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Teresa Bryner Pcpnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinic/Center (Multi-Specialty)
900 ROUND VALLEY DR
PARK CITY, UT 84060
Physical Therapist
900 ROUND VALLEY DR
PARK CITY, UT 84060
Physician Assistant
900 ROUND VALLEY DR, SUITE 100
PARK CITY, UT 84060
Hospitalist
900 ROUND VALLEY DR
PARK CITY, UT 84060
Physical Therapist
900 ROUND VALLEY DR
PARK CITY, UT 84060
Pharmacy (Institutional Pharmacy)
900 ROUND VALLEY DR
PARK CITY, UT 84060
Nurse Practitioner (Family)
900 ROUND VALLEY DR, 250
PARK CITY, UT 84060
Obstetrics & Gynecology
900 ROUND VALLEY DR
PARK CITY, UT 84060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720339484, enumerated as an "individual" on September 20, 2012.

The provider is located at 900 ROUND VALLEY DR PARK CITY, UT 84060 and the phone number is (435) 658-7000.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.