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

Robert Bunnell, PA

Individual provider Medical Physician Assistant · NPI 1831175272

Robert Bunnell, PA is a Physician Assistant in Layton, Utah. Qualified in 1989, 37 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
37
Licensed in
UT
In the registry since
2005
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

2084 N 1700 W Ste A
Layton, UT 84041
Phone: (801) 773-8644
Fax: (801) 773-9828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 104662-1206 (UT)

Record details

NPI number1831175272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020
Mailing address1159 E 200 N Ste 100, American Fork, UT 84003-2053

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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