NPI 1992550974

The Bladder Clinic LLC

Organisation Urology Physician Bountiful, UT

Practice location

Address: 1551 Renaissance Towne Dr STE 460, Bountiful, UT 84010-7672
Phone: (844) 764-7633
Fax: (385) 252-3338
Mailing address: PO Box 432, Kaysville, UT 84037-0432

Authorised official

Name: Carey Shimada
Title: Credentialing Specialist
Phone: (801) 628-8260

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Utah →

Registry record

NPI: 1992550974
Entity type: Organization
NPI issued: 22 Apr 2024
Record last updated: 3 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.