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

Dr. Jordan Russell Roberts, MD

Individual provider Family Medicine Physician · NPI 1588043871

Dr. Jordan Russell Roberts, MD is a Family Practice in Holladay, Utah. Graduated from University of Arizona College of Medicine in 2015, 11 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
11
Trained at
University of Arizona College of Medicine
Licensed in
UT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

999 E Murray Holladay Rd Ste 207
Holladay, UT 84117-5093
Phone: (801) 268-2584
Fax: (801) 262-1168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 E 3900 S Ste 260, Salt Lake City, UT 84124-1371 — (801) 265-2000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9897039-1205 (UT)

Record details

NPI number1588043871
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2015
Last updated in NPPESSeptember 15, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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