DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MANDYSON BERNARD

MEDICARE: MANDYSON BERNARD
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
1106S00000XBehavior TechnicianUT

General Provider Information

NPI Number : 1457129785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDYSON BERNARD
Provider Business Mailing Address
First Line : 1105 W RUSSELL ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-1322
Country : US
Telephone Number : 605-271-2690
Fax Number : 605-271-3956
Provider Business Practice Location Address
First Line : 6033 FASHION POINT DR
Second Line :
City : SOUTH OGDEN
State : UT
Zip : 84403-4847
Country : US
Telephone Number : 866-569-7395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2023
Last Update Date : 03/25/2026

Similar Medicare Providers

1093188179 — DR. JUSTIN STEVENSON DC
Practice Location Address:
6033 FASHION POINT DR
SOUTH OGDEN, UT
84403-4847
Practice Phone: 801-475-6800
Practice Fax:
1255870499 — SIDNEY LONG RBT
Practice Location Address:
6033 FASHION POINT DR
SOUTH OGDEN, UT
84403-4847
Practice Phone: 605-271-2690
Practice Fax:
1740776426 — MICAH SLACK
Practice Location Address:
6033 FASHION POINT DR
SOUTH OGDEN, UT
84403-4847
Practice Phone: 605-271-2690
Practice Fax:
1457815045 — MEGAN ELDRIDGE
Practice Location Address:
6033 FASHION POINT DR
SOUTH OGDEN, UT
84403-4847
Practice Phone: 801-549-8821
Practice Fax:
1689211161 — TRAYTON MURPHY
Practice Location Address:
6033 FASHION POINT DR
SOUTH OGDEN, UT
84403-4847
Practice Phone: 605-271-2690
Practice Fax:
1689294217 — ALYSSA CHIDESTER
Practice Location Address:
6033 FASHION POINT DR
SOUTH OGDEN, UT
84403-4847
Practice Phone: 801-549-8821
Practice Fax:

Directions to “ MANDYSON BERNARD ” 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.