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

Dr. Jeffrey G Randle, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1063404424

Dr. Jeffrey G Randle, MD is a Physical Medicine and Rehabilitation in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 1991, 35 years ago. Practices with Salt Lake Orthopaedic Specialist LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
35
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1160 E 3900 S #5000
Salt Lake City, UT 84124-1275
Phone: (801) 262-8486
Fax: (801) 284-8699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2326 N 400 E Ste 102, Tooele, UT 84074-3460 — (435) 241-6444

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2944031205 (UT)

Record details

NPI number1063404424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Salt Lake Orthopaedic Specialist Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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