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

Brian T Boden, PAC

Individual provider Medical Physician Assistant · NPI 1316938673

Brian T Boden, PAC is a Medical Physician Assistant in Orem, Utah. Licensed in Oklahoma and Utah. Registered with an NPI since 2005.

Licensed in
OK, UT
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1975 N State St
Orem, UT 84057-2028
Phone: (801) 714-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7060654-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1391 (OK)

Record details

NPI number1316938673
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 25, 2011

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