IndividualActive
Kurt Bodily, MD
NPI 1780600312 · Gastroenterology Physician · Provo, UT
Provider details
- NPI number
- 1780600312
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 322494-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1055 N 500 W Ste 100
Provo, UT 84604-3305
Phone: (801) 374-1268
Fax: (801) 812-5454
Approximate (ZIP-level) locationGet directions
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.