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Active NPI 1104622158 Individual Practitioner Female Practitioner

Brynna Haddock , FNP-C

Nurse Practitioner • Provo, UT

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Brynna Haddock, FNP-C is a certified Nurse Practitioner practicing in Provo, UT. With approximately 2 years of clinical experience since completing medical education in 2024, Brynna Haddock delivers high-quality medical care to the local community at 1055 N 500 W STE 222.

Brynna Haddock does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W Ste 222

Provo, UT 846043305

Telephone 8013548225
Fax 8014180941
Associated Practice Facility / Clinic
🏢 Total Renal Care Inc Facility NPI 1811139561

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
99 Specialists

Practicing in Provo, UT (1143 Statewide)

Telehealth Adoption Rate
31.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haddock (2 Years) 2 Yrs
Provo Specialty Average (9.2 Years) 9.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 14205405-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License UT 14205405-4405

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.

Practice Associates & Co-Workers

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

34 Associated Practitioners
Michael Anderson , PA

Physician Assistant

NPI 1023569241

Physician Assistant

Beverly Williams

Social Worker - Clinical

NPI 1033745393
Dr. Matthew Irvin , DO

Physical Medicine & Rehabilitation

NPI 1043644040

Doctor of Osteopathic Medicine (D.O.)

Amy Dalton

Nurse Practitioner

NPI 1104433606
Danette Stuart , PA

Physician Assistant

NPI 1104888718

Physician Assistant

Dr. Derek Bergeson , MD

Radiology - Diagnostic Radiology

NPI 1164641387

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2025

Registered at 1055 N 500 W STE 222, PROVO, UT 846043305 (Tel: 8013548225)

📍
Updated Business Mailing Address March 07, 2025

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

👤
Provider Name / Credentials Updated March 07, 2025

Recorded as BRYNNA HADDOCK, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2025

Family Medicine (License #14205405-4405 in UT)

🟢
Initial NPI Registration & Enumeration February 20, 2025

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: 1104622158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2025
Last Update: March 07, 2025
Sole Proprietor: No

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

Phone: 8013548225

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.