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

Nicholas E. Gavern, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1891255071

Nicholas E. Gavern, MD is a Physical Medicine and Rehabilitation in Salt Lake City, Utah. Graduated from Michigan State University College of Human Medicine in 2019, 7 years ago. Practices with University of Utah Specialty Services, a 92-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
7
Trained at
Michigan State University College of Human Medicine
Licensed in
UT
In the registry since
2019
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

30 N 1900 E Rm 1C301
Salt Lake City, UT 84132-0002
Phone: (801) 581-7985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 11899055-1205 (UT)

Record details

NPI number1891255071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Of Utah Specialty Services — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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