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

Bryan R. Bartholomew, DO

Individual provider Internal Medicine Physician · NPI 1407956121

Bryan R. Bartholomew, DO is an Internal Medicine in Bountiful, Utah. Qualified in 2003, 23 years ago. Practices with Impact Physician Group LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

520 Medical Dr Ste 200
Bountiful, UT 84010
Phone: (801) 299-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 308222-1204 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 308222-1204 (UT)

Record details

NPI number1407956121
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESMay 15, 2018
Mailing addressPo Box 1468, Bountiful, UT 84011-1468

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Impact Physician Group Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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