IndividualActive
Blake Bartholomew, MD
NPI 1619539749 · Diagnostic Radiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1619539749
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4351045622 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 1a071
Salt Lake City, UT 84132-0002
Phone: (801) 581-2868
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 1a071
Salt Lake City, UT 84132-0002
Registry dates
- Enumerated
- 2019-06-28
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.