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

Patrick Edward Imperio, PA

Individual provider Physician Assistant · NPI 1467252155

Patrick Edward Imperio, PA is a Physician Assistant in Bountiful, Utah. Qualified in 2024, 2 years ago. Licensed in Idaho and Utah.

Years since qualifying
2
Licensed in
ID, UT
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

390 N Main St
Bountiful, UT 84010-6046
Phone: (801) 397-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14205573-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 6071156 (ID)

Record details

NPI number1467252155
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
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 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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