BRYAN S MAULDEN (MD) – Psychiatry Physician, NPI 1184645624

BRYAN S MAULDEN (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials MD. They hold a License No. 3093491205 (UT). The NPI Number for BRYAN S MAULDEN (MD) is 1184645624

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN S MAULDEN (MD)
NPI
1184645624
Phone
(801) 501-4350
Address
PO BOX 27128
Enumeration Date
21 July 2006
Last Update Date
16 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3854194261
Graduation Year
1994 (32 years ago)
PAC ID
5092709444
Group Practice PAC ID
1850673187
Professional Enrollment ID
I20241016001773
Address ID
UT841211850MU5965X900X301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for BRYAN S MAULDEN (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 501-4350

    Type: Mailing

  • 1225 FORT UNION BLVD STE 215

    MIDVALE, UT 840471882

    Phone: (801) 501-4350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-05-24 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040409000337IPsychiatryUTTBD
I20241016001773INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4928$0
90833Psychotherapy with evaluation and management visit, 30 minutes4827$0
99215Established patient office or other outpatient visit, 40-54 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850673187View full group profile
NameSpecialtyState
Clinical Social WorkerUT
Marriage And Family TherapistUT
Clinical Social WorkerUT
Mental Health CounselorUT
Clinical Social WorkerUT
Mental Health CounselorUT
Clinical Social WorkerUT
Nurse PractitionerUT
Mental Health CounselorUT
Psychiatry, NeuropsychiatryUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRYAN S MAULDEN (MD)?
BRYAN S MAULDEN (MD) — NPI 1184645624 — is the standard way to identify this listing.
Does the file indicate BRYAN S MAULDEN (MD) is practicing under active NPI?
Directory data currently reports BRYAN S MAULDEN (MD) as active.
What taxonomy line describes BRYAN S MAULDEN (MD)?
For research purposes, treat BRYAN S MAULDEN (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BRYAN S MAULDEN (MD) on a map?
Expect Salt Lake City, Utah as a primary anchor for BRYAN S MAULDEN (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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