Provider Demographics
NPI:1225128903
Name:TROTTER, JAMES FORD (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:FORD
Last Name:TROTTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-507-3380
Mailing Address - Fax:
Practice Address - Street 1:5171 S COTTONWOOD ST STE 210
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5718
Practice Address - Country:US
Practice Address - Phone:801-507-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13678944-1205207RT0003X, 207RG0100X
CO37935207RI0008X
TXJ1149207RT0003X, 207RI0008X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO71753087Medicaid
TX176223903Medicaid
TX176223904Medicaid
TX176223902Medicaid
TX8BU829OtherBCBSTX
G28818Medicare UPIN
TX176223904Medicaid
COF72650Medicare PIN
TX8BU829OtherBCBSTX
TX310565YMNTMedicare PIN
CO71753087Medicaid