Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN EUGENE ELLEDGE, DO
Active Sole ProprietorBRIAN EUGENE ELLEDGE, DO is a Psychiatry healthcare provider located in PAYSON, Utah. NPI 1174865455 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · PAYSON, UT
Registration Details
- NPI Number
- 1174865455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2013 (13.385299339799 yrs)
- Last Updated
- Oct 16, 2020
- Licenses
-
20A14904 (CA)9848744-1204 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 E 100 NPAYSON, UT, 846511600Browse UT providers · Browse ZIP 84651
- Phone
- 8014657041
- Fax
- 8014657409
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in PAYSON, UT
| Name | Credential | NPI |
|---|---|---|
| DR. LYLE MILTON KINIKINI | M.D. | 1487840732 |
| DR. KEVIN LEE | MD | 1003195751 |
| DR. FORREST BODILY | MD | 1417585852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.