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

Bryan Ellis, PA-C

Individual provider Physician Assistant · NPI 1174288575

Bryan Ellis, PA-C is a Physician Assistant in Lehi, Utah. Qualified in 2021, 5 years ago. Practices with Utah Valley Dermatology PC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

680 E Main St Ste 201
Lehi, UT 84043-2251
Phone: (801) 768-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1055 N 300 W Ste 303, Provo, UT 84604-3373 — (801) 768-8800
  • 62 E Thrive Dr Ste 220, Saratoga Springs, UT 84045-5560 — (801) 768-8800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12537569-1206 (UT)

Record details

NPI number1174288575
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2021
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023
Mailing address13658 S Fort St, Draper, UT 84020-9278

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Utah Valley Dermatology Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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