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

Gary Earl Brundage

Individual provider Clinical Social Worker · NPI 1861707036

Gary Earl Brundage is a Clinical Social Worker in Roy, Utah. Licensed in Nevada and Utah. Registered with an NPI since 2010.

Licensed in
NV, UT
In the registry since
2010
Specialties on file
2

Practice location Address checks out

5640 S 3500 W
Roy, UT 84067-9158
Phone: (017) 732-8388
Fax: (801) 773-3025
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8666499-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7435-C (NV)

Record details

NPI number1861707036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022
Mailing address713 Hislop Dr, Ogden, UT 84404-6809

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