Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1487655668 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Ray Coombs , MD

Specialist • Bountiful, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Coombs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2005
NPI Deactivation Date September 27, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Coombs, MD was a registered Specialist practicing in Bountiful, UT. Throughout an active medical career spanning 19 years, Dr. Coombs provided care at the practice location at 520 MEDICAL DR until profile deactivation on 2024-09-27.

Practice Location & Contact Primary Location

Practice Address

520 Medical Dr
#301

Bountiful, UT 840104968

Telephone 8012921464
Fax 8012921465
Associated Practice Facility / Clinic
🏢 Bryan Bartholomew Do Pc Facility NPI 1023189362

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bountiful, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 33.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Bountiful, UT (427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License UT 162219-1205

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Gina Capps , CPNP

Nurse Practitioner - Pediatrics, Critical Care

NPI 1235340019

Certified Pediatric Nurse Practitioner

Lisa Sharp , FNP

Nurse Practitioner - Family

NPI 1275524258

Family Nurse Practitioner

NPI 1558868976

Doctor of Osteopathic Medicine (D.O.)

Adam Johnson , APRN

Nurse Practitioner - Pediatrics

NPI 1598002677

Advanced Practice Registered Nurse

Emily Daines , FNP

Nurse Practitioner - Family

NPI 1972952844

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active December 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2012

Registered at 520 MEDICAL DR, #301, BOUNTIFUL, UT 840104968 (Tel: 8012921464)

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Updated Business Mailing Address December 13, 2012

Registered at 520 MEDICAL DR, #301, BOUNTIFUL, UT 840104968 (Tel: 8012921464)

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Provider Name / Credentials Updated December 13, 2012

Recorded as DOUGLAS COOMBS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2012

Specialist (License #162219-1205 in UT)

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Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487655668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: December 13, 2012
Deactivation Date: September 27, 2024

Mailing Address

520 Medical Dr, #301

Bountiful, UT 840104968

Phone: 8012921464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.