Healthcare Provider Details

I. General information

NPI: 1790129831
Provider Name (Legal Business Name): BRIAN ANDREW BREVIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 E MEDICAL TOWER DR
MURRAY UT
84107-4872
US

IV. Provider business mailing address

PO BOX 27128 DEPARTMENT OF MEDICINE - ROOM 4C104
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-314-7800
  • Fax:
Mailing address:
  • Phone: 801-314-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number9158339-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9158339-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: