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

Brian T Boden, PAC

Individual provider Medical Physician Assistant · NPI 1316938673

Brian T Boden, PAC is a Medical Physician Assistant in Orem, Utah. Licensed in Oklahoma and Utah. Registered with an NPI since 2005.

Licensed in
OK, UT
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1975 N State St
Orem, UT 84057-2028
Phone: (801) 714-5000
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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 7060654-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1391 (OK)

Record details

NPI number1316938673
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 25, 2011
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

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