BRANDON LEE REYNOLDS (DO) – Obstetrics & Gynecology Physician, NPI 1710972641

BRANDON LEE REYNOLDS (DO) is a healthcare provider. based in South jordan, Utah. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 7750270-1204 (UT). The NPI Number for BRANDON LEE REYNOLDS (DO) is 1710972641

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON LEE REYNOLDS (DO)
NPI
1710972641
Phone
(801) 231-4500
Address
5126 W DAYBREAK PKWY
Enumeration Date
16 September 2005
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015856387
Graduation Year
2000 (26 years ago)
PAC ID
7214903905
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20110301000644
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
breynolds36627@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

357 OBSTETRICS/GYNECOLOGY in UT

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Provider Addresses for BRANDON LEE REYNOLDS (DO)

  • Mountain America Credit Union, 5382 W, Daybreak Parkway, Daybreak, Trail Crossing, South Jordan, Salt Lake County, Utah, 84009, United States

    SOUTH JORDAN, UT 840955994

    Phone: (801) 231-4500

    Type: Location

  • 10600 LOCHRIDGE BLVD STE A

    COVINGTON, GA 300144411

    Phone: (229) 391-3500

    Type: Mailing

  • PO BOX 510708

    SALT LAKE CITY, UT 841510708

    Phone: (801) 213-3900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110301000644IObstetrics/GynecologyUTTBD

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 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What NPI should I save for BRANDON LEE REYNOLDS (DO)?
Save NPI 1710972641 if you need a stable reference for BRANDON LEE REYNOLDS (DO).
Does this profile mean BRANDON LEE REYNOLDS (DO) is currently active?
Yes — BRANDON LEE REYNOLDS (DO) appears active in the national provider directory.
What kind of provider is BRANDON LEE REYNOLDS (DO)?
The page reflects Obstetrics & Gynecology Physician for BRANDON LEE REYNOLDS (DO). Clinical services aligned with this taxonomy classification.
Where does public data place BRANDON LEE REYNOLDS (DO)?
The snapshot lists South Jordan, Utah for BRANDON LEE REYNOLDS (DO); download NPPES for the complete set.
Is BRANDON LEE REYNOLDS (DO) a real provider?
This page reflects official NPPES data for NPI 1710972641. Always confirm identity and privileges with the practice and licensing boards.

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