Doctor profile · Federal record
Dr. Pablo de Oliveira Bautista
Student in an Organized Health Care Education/Training Program · South Jordan, UT
- NPI 1811419369
- 9 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
10894 S River Front Pkwy
South Jordan, UT 840955609
(801) 302-2600 - Mailing address
-
1420 E Firelight Way
Sandy, UT 840924944
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811419369. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$73
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Peter Brasseler Holdings, LLC | 1 | $72.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
64
Patients
53
Total drug cost
$553
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 32 | 26 | $331 |
| Celecoxib | Generic | 32 | 27 | $222 |
Frequently asked questions
What is Dr. Pablo de Oliveira Bautista's medical specialty?
Dr. Pablo de Oliveira Bautista practices Student in an Organized Health Care Education/Training Program in South Jordan, UT.
Where does Dr. Pablo de Oliveira Bautista practice?
Dr. Pablo de Oliveira Bautista practices at 10894 S River Front Pkwy, South Jordan, UT 840955609. Office phone: 8013022600.
What is Dr. Pablo de Oliveira Bautista's NPI?
Dr. Pablo de Oliveira Bautista's National Provider Identifier (NPI) is 1811419369, issued by NPPES.