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

Alicia Brunner

Individual provider Physician Assistant · NPI 1689814352

Alicia Brunner is a Physician Assistant in Salt Lake City, Utah. Qualified in 2008, 18 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
18
Licensed in
OR, UT
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

8 Th Ave & C St
Salt Lake City, UT 84143-0001
Phone: (801) 408-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7232172-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA156580 (OR)

Record details

NPI number1689814352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2009
Last updated in NPPESMarch 19, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Salt Lake City