Healthcare Provider Details

I. General information

NPI: 1215313283
Provider Name (Legal Business Name): BUSY BEE PEDIATRICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 MEDICAL DR STE 301
BOUNTIFUL UT
84010-8927
US

IV. Provider business mailing address

520 MEDICAL DR STE 301
BOUNTIFUL UT
84010-8927
US

V. Phone/Fax

Practice location:
  • Phone: 801-292-1464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number351671-1205
License Number StateUT

VIII. Authorized Official

Name: BONNIE B. FEOLA
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: MD, FAAP
Phone: 801-292-1464