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BRUCE MONTGOMERIE MD
NPI 1780615153
Pediatrics in West Valley City, UT

Active since July 05, 2006PECOS Enrolled
3725 W 4100 S, WEST VALLEY CITY, UT 84120(801) 965-3600(801) 965-3526 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bruce Montgomerie Md NPPES

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

BRUCE MONTGOMERIE MD (NPI 1780615153) is an individual pediatrics provider in West Valley City, Utah, licensed in Utah (1846081205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780615153
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRUCE MONTGOMERIECredential: MD
Location Address3725 W 4100 SWest Valley City, UT 84120-5411
Mailing Address3725 W 4100 SWest Valley City, UT 84120-5411 · (801) 965-3600 · Fax (801) 965-3526
Phone(801) 965-3600
Fax(801) 965-3526
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateDecember 27, 2021
✔ NPI 1780615153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 1846081205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3725 W 4100 S, West Valley City, UT 84120
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce Montgomerie Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Bruce Montgomerie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
531 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84120 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.

JENNIFER J DENBLEYKER MD
Family Medicine
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
TAMI JOHNSON
Community Health Worker
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 565-6900
MISS NATALIE EVANS DAHLE PA-S
Physician Assistant
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
MR. BRYAN ALLRED
Pharmacist
3725 W 4100 S
WEST VALLEY, UT 84120
Salt Lake County (801) 597-5650
SHANELL N RICH FNP
Nurse Practitioner
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
DEBORAH PLASMAN PA C
Physician Assistant
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600
BRYNLEE LEAVITT
Community Health Worker
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 565-6900
MS. CARINA LESSER FNP
Nurse Practitioner
3725 W 4100 S
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 965-3600

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 Montgomerie's NPI number?

The NPI number for Bruce Montgomerie is 1780615153. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Bruce Montgomerie located?

Bruce Montgomerie practices at 3725 W 4100 S, West Valley City, UT 84120. The listed phone number is (801) 965-3600.

What is Bruce Montgomerie's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bruce Montgomerie enrolled in Medicare?

Yes. Bruce Montgomerie is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bruce Montgomerie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Montgomerie reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Bruce Montgomerie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Montgomerie was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.