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

The Bladder Clinic LLC

Organization Urology Physician · NPI 1992550974

The Bladder Clinic LLC is an Urology Physician in Bountiful, Utah. Registered with an NPI since 2024.

In the registry since
2024
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

1551 Renaissance Towne Dr Ste 460
Bountiful, UT 84010-7672
Phone: (844) 764-7633
Fax: (385) 252-3338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1992550974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carey Shimada — Credentialing Specialist · (801) 628-8260
NPI enumeratedApril 22, 2024
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing addressPo Box 432, Kaysville, UT 84037-0432

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