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Deactivated NPI 1548446560 Deactivated / Inactive NPI Male Practitioner

Dr. James Eliot Pickens , 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. James Pickens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2008
NPI Deactivation Date September 25, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. James Pickens, MD was a registered Specialist practicing in Bountiful, UT. Throughout an active medical career spanning 17 years, Dr. Pickens provided care at the practice location at 425 MEDICAL DR until profile deactivation on 2025-09-25.

Practice Location & Contact Primary Location

Practice Address

425 Medical Dr
Suite 110

Bountiful, UT 840104945

Telephone 8014559667
Fax 8013350535
Associated Practice Facility / Clinic
🏢 Russell B Shields Md Pc Facility NPI 1477543213

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 150617-1205

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

11 Associated Practitioners
NPI 1235127291

Doctor of Medicine (M.D.)

Heidi Bishop , LCSW

Social Worker - Clinical

NPI 1407918790

Licensed Clinical Social Worker

Dr. Allan Edson , DO

Family Medicine

NPI 1508811092

Doctor of Osteopathic Medicine (D.O.)

NPI 1528194826

Doctor of Medicine (M.D.)

Melanie Oliver , GNP

Nurse Practitioner - Gerontology

NPI 1528389723
Harold Pergler , MCD, FAAA, CCC-A

Audiologist-Hearing Aid Fitter

NPI 1548363617

MCD, FAAA, CCCA

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 25, 2025

Record deactivated on September 25, 2025

NPI Profile Active January 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2008

Registered at 425 MEDICAL DR, SUITE 110, BOUNTIFUL, UT 840104945 (Tel: 8014559667)

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Updated Business Mailing Address January 22, 2008

Registered at 425 MEDICAL DR, SUITE 110, BOUNTIFUL, UT 840104945 (Tel: 8014559667)

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Provider Name / Credentials Updated January 22, 2008

Recorded as JAMES PICKENS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2008

Specialist (License #150617-1205 in UT)

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Initial NPI Registration & Enumeration January 22, 2008

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: 1548446560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2008
Last Update: January 22, 2008
Deactivation Date: September 25, 2025

Mailing Address

425 Medical Dr, Suite 110

Bountiful, UT 840104945

Phone: 8014559667

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.