MEDICARE: BRIAN MOOERS M.D.

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	208600000X	Surgery Physician	12805944-1205	UT

General Provider Information

NPI Number	:	1225417280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MOOERS M.D.

Provider Business Mailing Address
First Line	:	1046 E 100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1520
Country	:	US
Telephone Number	:	801-746-2885
Fax Number	:	801-746-2886

Provider Business Practice Location Address
First Line	:	1046 E 100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1520
Country	:	US
Telephone Number	:	801-746-2885
Fax Number	:	801-746-2886

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

Provider Enumeration Date	:	05/23/2015
Last Update Date	:	08/01/2022

Similar Medicare Providers

1932156692 — WALTER SCOTT EDWARDS MEDLIN M.D.
Practice Location Address:

1046 E 100 S , SUITE A
SALT LAKE CITY, UT
84102-1520

Practice Phone: 406-694-2487
Practice Fax: 801-746-2886

1760574776 — DR. DANIEL RHEAD COTTAM M.D.
Practice Location Address:

1046 E 100 S
SALT LAKE CITY, UT
84102-1520

Practice Phone: 801-746-2885
Practice Fax: 801-746-2886

1922123694 — CHRISTINA G RICHARDS M D P C
Practice Location Address:

1046 E 100 S
SALT LAKE CITY, UT
84102-1520

Practice Phone: 801-746-2885
Practice Fax: 801-746-2886

1992058572 — MADISON MEYERS CARTE PA-C
Practice Location Address:

1046 E 100 S
SALT LAKE CITY, UT
84102-1520

Practice Phone: 801-746-2885
Practice Fax: 801-746-2886

1962810283 — MRS. LISA SANDOVAL CHAPMAN PHYSICIAN ASSISTANT
Practice Location Address:

1046 E 100 S
SALT LAKE CITY, UT
84102-1520

Practice Phone: 801-746-2885
Practice Fax:

1295187730 — CITY CREEK SURGICAL SERVICES
Practice Location Address:

1046 E 100 S , SUITE D
SALT LAKE CITY, UT
84102-1520

Practice Phone: 801-746-2885
Practice Fax:

Directions to “ BRIAN MOOERS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.