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EBRAINMD, LLC
NPI 1811167547
Specialist in Bountiful, UT

Active since March 10, 2008
3401 S HIGHWAY 89, BOUNTIFUL, UT 84010(801) 295-2438(800) 558-1912 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebrainmd, Llc NPPES

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

EBRAINMD, LLC (NPI 1811167547) is a healthcare organization registered as a specialist in Bountiful, Utah and active in the NPI registry since March 2008. The organization lists Brent Lee Clyde, Owner, as its authorized official.

NPPES Registry Identity

NPI1811167547
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEBRAINMD, LLC
Location Address3401 S HIGHWAY 89Bountiful, UT 84010-8517
Mailing Address3401 S Highway 89Bountiful, UT 84010-8517 · (801) 295-2438 · Fax (800) 558-1912
Phone(801) 295-2438
Fax(800) 558-1912
Organization SubpartNo
Authorized OfficialBrent Lee ClydeOwner · (801) 295-2438
Enumeration DateMarch 10, 2008
Last NPPES UpdateApril 14, 2016
✔ NPI 1811167547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WY · 6555A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3401 S HIGHWAY 89, Bountiful, UT 84010
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Other Identifiers 3

Medicare UPING52536WY
Medicare PINW9202WY
Medicaid117443600WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

WASATCH NEUROLOGICAL SURGERY PC
Specialist
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (801) 295-2438
AXIA INTERNATIONAL LLC
Clinic/Center (Multi-Specialty)
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (385) 355-7600
KENNETH S YONEMURA M D P S
Specialist
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (801) 295-2438
TRANSPORT SOLUTIONS
Non-emergency Medical Transport (VAN)
3401 S HIGHWAY 89
BOUNTIFUL, UT 84010
Davis County (801) 774-9018

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 Ebrainmd, LLC's NPI number?

The NPI number for Ebrainmd, LLC is 1811167547. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Ebrainmd, LLC located?

Ebrainmd, LLC is located at 3401 S Highway 89, Bountiful, UT 84010. The listed phone number is (801) 295-2438.

What is Ebrainmd, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ebrainmd, LLC was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.