Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebrainmd, LLC

Organization Specialist · NPI 1811167547

Ebrainmd, LLC is a Specialist in Bountiful, Utah. Licensed in Wyoming. Registered with an NPI since 2008.

Licensed in
WY
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3401 S Highway 89
Bountiful, UT 84010-8517
Phone: (801) 295-2438
Fax: (800) 558-1912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 6555A (WY)

Record details

NPI number1811167547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Clyde — Owner · (801) 295-2438
NPI enumeratedMarch 10, 2008
Last updated in NPPESApril 14, 2016
Mailing address3401 S Highway 89, Bountiful, UT 84010-8517

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