The Bladder Clinic LLC
NPI 1992550974 · Urology Physician · Bountiful, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Bladder Clinic LLC is a Urology Physician organization in Bountiful, UT (NPI 1992550974).
Provider details
- NPI number
- 1992550974
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carey Shimada, Credentialing Specialist(801) 628-8260
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Frequently asked questions
- What is The Bladder Clinic LLC's NPI number?
- The Bladder Clinic LLC's National Provider Identifier (NPI) is 1992550974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Bladder Clinic LLC?
- The Bladder Clinic LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is The Bladder Clinic LLC located?
- The Bladder Clinic LLC's practice location on file with NPPES is 1551 Renaissance Towne Dr Ste 460, Bountiful, UT 84010-7672.
- What is The Bladder Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for The Bladder Clinic LLC is (844) 764-7633.
- Does The Bladder Clinic LLC accept Medicare?
- The Bladder Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Bladder Clinic LLC?
- The authorized official listed on The Bladder Clinic LLC's NPPES record is Carey Shimada, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Bladder Clinic LLC's NPI active?
- Yes — The Bladder Clinic LLC's NPI (1992550974) is active in the NPPES registry as of the last update on 2025-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.