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

Bryson Mark Roundy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639752405

Bryson Mark Roundy is a Physician Assistant in Ogden, Utah. Qualified in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3895 Harrison Blvd
Ogden, UT 84403-2312
Phone: (801) 387-7678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3744 W 3550 S, West Haven, UT 84401-9320 — (801) 389-6200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13005528-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639752405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

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 Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ogden