Bryan Lundberg, PA-C
NPI 1619398021 · Physician Assistant · West Valley City, UT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bryan Lundberg, PA-C is a Physician Assistant provider in West Valley City, UT (NPI 1619398021).
Provider details
- NPI number
- 1619398021
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2525 S Lake Park BlvdWest Valley City, UT 84120-8230Phone: (385) 274-3939Fax: (385) 274-3950
Registry dates
- Enumerated
- 2014-01-02
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Bryan Lundberg's NPI number?
- Bryan Lundberg's National Provider Identifier (NPI) is 1619398021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Lundberg's specialty?
- Bryan Lundberg is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bryan Lundberg located?
- Bryan Lundberg's practice location on file with NPPES is 4071 S 4000 W, West Valley City, UT 84120-4143.
- What is Bryan Lundberg's phone number?
- The practice phone number listed in the NPPES registry for Bryan Lundberg is (801) 265-0103.
- Does Bryan Lundberg accept Medicare?
- Bryan Lundberg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bryan Lundberg's NPI active?
- Yes — Bryan Lundberg's NPI (1619398021) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.