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

Bryan William Lundberg, PA-C

Individual provider Physician Assistant · NPI 1619398021

Bryan William Lundberg, PA-C is a Physician Assistant in West Valley City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2014
Specialties on file
2
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

4071 S 4000 W
West Valley City, UT 84120-4143
Phone: (801) 265-0103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2525 S Lake Park Blvd, West Valley City, UT 84120-8230 — (385) 274-3939

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8905020-1206 (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1619398021
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2014
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Other providers in West Valley City