Healthcare Provider Details

I. General information

NPI: 1629631825
Provider Name (Legal Business Name): BRYCE ALDEN BARTON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 N 100 E
GUNNISON UT
84634-7720
US

IV. Provider business mailing address

95 N 100 E
GUNNISON UT
84634-7720
US

V. Phone/Fax

Practice location:
  • Phone: 435-528-7202
  • Fax: 435-582-3624
Mailing address:
  • Phone: 435-528-7202
  • Fax: 435-528-3624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12092412-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: