Healthcare Provider Details
I. General information
NPI: 1366431249
Provider Name (Legal Business Name): BRYANT GENE MARCHANT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/14/2005
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
987 S GENEVA RD STE 141
OREM UT
84058-6076
US
IV. Provider business mailing address
1085 S 3440 E
SPANISH FORK UT
84660-6529
US
V. Phone/Fax
- Phone: 801-854-5168
- Fax: 385-248-0667
- Phone: 253-905-4541
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | MD60084905 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 14265862-1205 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: