BRANT W. FONNESBECK DO – NPI #1033156849
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

BRANT FONNESBECK is a physician located in LOGAN, UT. NPPES has assigned the NPI number 1033156849 to BRANT FONNESBECK on June 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Feb 26, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRANT FONNESBECK below.

NPI Profile for
BRANT W. FONNESBECK

NPI Number
1033156849
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRANT W. FONNESBECK
Credentials
DO
Primary location
550 E 1400 N STE K
LOGAN, UT 84341-2450
Phone: (435) 755-6061 Fax:
Mailing address
325 W LOGAN HWY
PO BOX 328
GARDEN CITY, UT 84028
Phone: (435) 764-7249 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 UT 5953772-1204

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 2004
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BRANT FONNESBECK is affiliated with the following medical group(s):
  • HOSPITAL
    • BEAR RIVER VALLEY HOSPITAL
      905 NORTH 1000 WEST
      TREMONTON, UT 84337

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