Individual ProviderBryce HerreraSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E, Murray, UT 84121-1720(801) 263-7138PECOS EnrollmentBased on the most recent information from CMS, provider Bryce Herrera is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1730591033Provider TypeIndividualFull NameHerrera, BryceGenderMaleSole ProprietorNoEnumeration Date5/21/2014Last Updated12/10/2021Contact InformationPractice LocationPractice Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxMailing LocationMailing Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8949574-3501UtahCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer