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

Bryson J Hollingshead, DO

Individual provider Family Medicine Physician · NPI 1124432992

Bryson J Hollingshead, DO is a Family Practice in St George, Utah. Qualified in 2014, 12 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2014
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

736 S 900 E Ste 203
St George, UT 84790-7003
Phone: (435) 673-6131
Fax: (435) 673-8557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2825 E Mall Dr, St George, UT 84790-1954 — (435) 673-6131

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10138818-1204 (UT)

Record details

NPI number1124432992
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2014
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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