Provider Demographics
NPI:1043852908
Name:BRIO DME LLC
Entity Type:Organization
Organization Name:BRIO DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-361-4381
Mailing Address - Street 1:11762 S STATE ST STE 350
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7171
Mailing Address - Country:US
Mailing Address - Phone:801-649-5566
Mailing Address - Fax:801-649-5966
Practice Address - Street 1:11762 S STATE ST STE 350
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7171
Practice Address - Country:US
Practice Address - Phone:801-649-5566
Practice Address - Fax:801-649-5966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT11496967-0160OtherUTAH DEPARTMENT OF COMMERCE ID