Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619928199 Individual Practitioner Male Practitioner

Bruce A. Bolonesi , PA-C

Physician Assistant • Murray, UT

Professional Overview & Biography Verified Profile Summary

Bruce Bolonesi, PA-C is a registered healthcare professional specializing in Physician Assistant in Murray, UT. Practice services are available at 5131 COTTONWOOD ST # L-2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5131 Cottonwood St # L-2

Murray, UT 841075701

Telephone 8012633416
Associated Practice Facility / Clinic
🏢 Granger Medical Clinic, Pc Facility NPI 1932216652

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Murray, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
153 Specialists

Practicing in Murray, UT (1904 Statewide)

Telehealth Adoption Rate
13.7% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 106591-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Altius
270286 (UT)

Practice Associates & Co-Workers

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

13 Associated Practitioners
Laura Bickel , FNP

Nurse Practitioner - Family

NPI 1073067088

Family Nurse Practitioner

Dr. Bruce Chamberlain , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1285664078

Doctor of Medicine (M.D.)

Hyatt Reed , PA

Physician Assistant - Medical

NPI 1326425497

Physician Assistant

Dr. Lindsay Hunter , MD

Internal Medicine - Hematology & Oncology

NPI 1427410810

Doctor of Medicine (M.D.)

Dr. William Nibley , MD

Internal Medicine - Medical Oncology

NPI 1437108974

Doctor of Medicine (M.D.)

Carrie Stephens , PA-C

Physician Assistant

NPI 1457808677

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2011

Registered at 5131 COTTONWOOD ST # L-2, MURRAY, UT 841075701 (Tel: 8012633416)

📍
Updated Business Mailing Address October 17, 2011

Registered at 1121 E 3900 S, SUITE C-240, SALT LAKE CITY, UT 841241214 (Tel: 8012633416)

👤
Provider Name / Credentials Updated October 17, 2011

Recorded as BRUCE BOLONESI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2011

Physician Assistant (License #106591-1206 in UT)

🟢
Initial NPI Registration & Enumeration May 12, 2006

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: 1619928199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: October 17, 2011
Sole Proprietor: No

Mailing Address

1121 E 3900 S, Suite C-240

Salt Lake City, UT 841241214

Phone: 8012633416

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.