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

Brian J Pontius, MPASPA-C

Individual provider Physician Assistant · NPI 1356869879

Brian J Pontius, MPASPA-C is a Physician Assistant in Eagle Mountain, Utah. Qualified in 2017, 9 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017

Practice location Address checks out

4095 E Pony Express Pkwy
Eagle Mountain, UT 84005-5529
Phone: (801) 429-8037
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5228191-1206 (UT)

Record details

NPI number1356869879
Entity typeIndividual (Type 1)
GenderMale
Credentials MPASPA-C
Sole proprietorYes
NPI enumeratedSeptember 5, 2017
Last updated in NPPESNovember 27, 2023
Certification dateMarch 18, 2020
Mailing address1055 N 500 W, Att: Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eagle Mountain