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1053397752

NPI Code Detail

MEDICARE: GREGORY SHERMAN BRINTON MD

MEDICARE: GREGORY SHERMAN BRINTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	1693191205	UT
2	207W00000X	Ophthalmology Physician	169319-1205	UT
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	169319-1205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	180002878	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	870525682	OTHER		TAX ID #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053397752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY SHERMAN BRINTON MD

Provider Business Mailing Address
First Line	:	5169 COTTONWOOD ST STE 630
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-6771
Country	:	US
Telephone Number	:	801-281-3030
Fax Number	:	801-281-3033

Provider Business Practice Location Address
First Line	:	5169 COTTONWOOD ST STE 630
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-6771
Country	:	US
Telephone Number	:	801-281-3030
Fax Number	:	801-281-3033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	02/05/2018

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1962487611 — KIRK EDWARD WINWARD MD
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1457338162 — ROBERT CHOI KWUN MD
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1366577256 — MICHAEL P COLLINS MD
Practice Location Address:

5169 S COTTONWOOD ST , STE 600
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Practice Fax:

1396867214 — RETINA ASSOCIATES OF UTAH, P.C.
Practice Location Address:

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Directions to “ GREGORY SHERMAN BRINTON MD” Practice Location

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