Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bountiful Diabetes Clinic LLC

Organization Specialist · NPI 1043456999

Bountiful Diabetes Clinic LLC provides Specialist services in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

440 Medical Dr
Bountiful, UT 84010 Not confirmed with CMS for 17 years — call before visiting
Phone: (801) 294-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 200836457 (UT)

Record details

NPI number1043456999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Brown — Owner · (801) 294-0191
NPI enumeratedDecember 24, 2008
Last updated in NPPESDecember 24, 2008
Mailing address1560 South Renaissance Town Drive #250, Bountiful, UT 84010

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