ANTHONY W. BACON M.D. – NPI #1154611986
Surgery

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Health Care Provider Taxonomy Code for Surgery

ANTHONY BACON is a surgeon located in MURRAY, UT. NPPES has assigned the NPI number 1154611986 to ANTHONY BACON on April 13, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0127X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Trauma Surgery

The NPI profile was last updated on Apr 13, 2026. 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 ANTHONY BACON below.

NPI Profile for
ANTHONY W. BACON

NPI Number
1154611986
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANTHONY W. BACON
Credentials
M.D.
Primary location
5169 S COTTONWOOD ST STE 400
MURRAY, UT 84107-6769
Phone: (801) 507-3460 Fax:
1 Other location(s):
5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 442-2000
Mailing address
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone: (801) 507-3460 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2086S0127X
- Surgery / Trauma Surgery (Primary)		 UT 11275378-1205
2086S0102X
- Surgery / Surgical Critical Care		 UT 11275378-1205
208600000X
- Surgery		 UT 11275378-1205

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.2019.3
Content Type
Affiliation
Y
Endpoint Location
1300 SE CARDINAL CT STE 190,
VANCOUVER, WA 77025-1669

Additional Information

Education
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ANTHONY BACON is affiliated with the following medical group(s):
  • HOSPITAL
    • INTERMOUNTAIN MEDICAL CENTER
      5121 SOUTH COTTONWOOD STREET
      MURRAY, UT 84107

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.