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MR. BRUCE WARELO SPERRY PT, PA-C
NPI 1760575518
Physician Assistant - Surgical in Holladay, UT

Active since October 02, 2006
4252 S HIGHLAND DR STE 200, HOLLADAY, UT 84124(801) 993-1800 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bruce Warelo Sperry Pt, Pa-c NPPES

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

MR. BRUCE WARELO SPERRY PT, PA-C (NPI 1760575518) is an individual surgical provider in Holladay, Utah, licensed in Utah (116471-1206) and active in the NPI registry since October 2006. He maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1760575518
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BRUCE WARELO SPERRYCredential: PT, PA-C
Location Address4252 S HIGHLAND DR STE 200Holladay, UT 84124-2690
Mailing Address7181 S Campus View Dr Ste 200West Jordan, UT 84084-4312 · (801) 965-3600
Phone(801) 993-1800
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1760575518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 116471-1206
4252 S HIGHLAND DR STE 200, Holladay, UT 84124
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Secondary Practice Location 1

Location 1500 Foothill Blvd # 112Salt Lake City, UT 84148-0001 · Phone (801) 528-1565 ext. 5372 · Fax (801) 584-2587

Other Providers at the Same Location NPPES 11

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

AUDREY DEAN M.D.
Dermatology
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-3600
CATHERINE RUSSO PA-C
Physician Assistant (Surgical)
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-1800
DR. IAN R CAVIN DO
Surgery
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 965-3600
MR. MARK P PULVER PA
Physician Assistant
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-3600
DR. CHARLES REESE DAVIS M.D.
Surgery
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Salt Lake County (801) 965-3600
BRANDIE BLOOD RUDY APRN
Nurse Practitioner
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Salt Lake County (801) 993-1800
CRISTINA REGALADO PA-C
Physician Assistant
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-1800
JAMES R CRAIG JR. MD
Urology
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-1800

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 Sperry's NPI number?

The NPI number for Bruce Sperry is 1760575518. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Bruce Sperry located?

Bruce Sperry practices at 4252 S Highland Dr Ste 200, Holladay, UT 84124. The listed phone number is (801) 993-1800.

What is Bruce Sperry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Bruce Sperry was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.