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

Bryan Thurston Fletcher, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063142081

Bryan Thurston Fletcher, PA is a Physician Assistant in Park City, Utah. Qualified in 2022, 4 years ago. Practices with Rosenberg Cooley Metcalf Lc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone: (435) 655-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1336 E 370 N, Heber City, UT 84032-1355 — (435) 225-6124

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13007069-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063142081
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESAugust 27, 2022
Certification dateAugust 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rosenberg Cooley Metcalf Lc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Park City