Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYDON J.B. GRANT, M.D.
Active Sole ProprietorDR. BRYDON J.B. GRANT, M.D. is a Sports Medicine (IM) healthcare provider located in SANDY, Utah. NPI 1962490128 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · SANDY, UT
Registration Details
- NPI Number
- 1962490128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.877161284666 yrs)
- Last Updated
- Mar 3, 2008
- Licenses
-
5868721-1205 (UT)154772 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10712 S 1300 ESANDY, UT, 840945094Browse UT providers · Browse ZIP 84094
- Phone
- 8002585329
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Sports Medicine (IM)
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.