1. Home
  2. Directory
  3. Utah
  4. Roy
  5. Social Worker
  6. NPI Profile

GARY EARL BRUNDAGE
NPI 1861707036
Social Worker - Clinical in Roy, UT

Active since August 12, 2010PECOS Enrolled
5640 S 3500 W, ROY, UT 84067(017) 732-8388(801) 773-3025 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2022, Jul 7, 2021 (2 updates tracked since 2021).

About Gary Earl Brundage NPPES

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

GARY EARL BRUNDAGE (NPI 1861707036) is an individual clinical provider in Roy, Utah, licensed in Utah (8666499-3501) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861707036
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGARY EARL BRUNDAGE
Location Address5640 S 3500 WRoy, UT 84067-9158
Mailing Address713 Hislop DrOgden, UT 84404-6809 · (801) 814-4376
Phone(017) 732-8388
Fax(801) 773-3025
Sole ProprietorNo
Enumeration DateAugust 12, 2010
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1861707036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in UT · 8666499-3501✔ Licensed in NV · 7435-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5640 S 3500 W, Roy, UT 84067
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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)

Gary Earl Brundage 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 84067 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 10

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

JERRICA ELIZABETH STODDARD FNP
Nurse Practitioner (Family)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
JEFFERY W ANDERSON PA
Physician Assistant (Medical)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
DR. BRINTON S WOODS D.O.
Family Medicine
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
DARLENE L PETERSEN M.D.
Family Medicine
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MR. MICHEAL SHAWN DAWSON PA-C
Physician Assistant
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MR. LUCIUS NMN GORDON JR. PA-C
Physician Assistant
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
CURTIS SHEPHERD LCSW
Social Worker (Clinical)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838
MRS. JONI MICHELLE JONES FNP
Nurse Practitioner (Family)
5640 S 3500 W
ROY, UT 84067
Weber County (801) 773-2838

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 Gary Brundage's NPI number?

The NPI number for Gary Brundage is 1861707036. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Where is Gary Brundage located?

Gary Brundage practices at 5640 S 3500 W, Roy, UT 84067. The listed phone number is (017) 732-8388.

What is Gary Brundage's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gary Brundage enrolled in Medicare?

Yes. Gary Brundage is registered in the Medicare PECOS enrollment system.

What insurance does Gary Brundage accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Molina Healthcare and Select Health list Gary Brundage as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Brundage was last updated on July 29, 2022. 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.