Active NPIIndividual providerSole proprietor

Mr. Ilsley B Colton, MD

Family Medicine in Salt Lake City, Utah

NPI Number1063943116
Practice location
1409 E Bryan Ave, Salt Lake City, UT 84105-2651
Fax
—
Last updated
October 29, 2026

Ilsley Ben Colton is a Family Medicine based in Salt Lake City, UT. Ilsley Ben Colton practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Ilsley Ben Colton is 1063943116 and holds a License No. 042.0040414 (VT). The current practice location address for Ilsley Ben Colton is 1409 E Bryan Ave, Salt Lake City, UT 84105-2651 and can be reached out via phone at 802-922-0872.

Provider Profile Details

NPI Number
1063943116
Provider Name
Ilsley Ben Colton
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1409 E Bryan Ave, Salt Lake City, UT 84105-2651
Phone Number
802-922-0872
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 21, 2017
Last Update Date
October 29, 2026
Certification Date
October 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1409 E Bryan Ave
Salt Lake City, UT 84105-2651
State
Utah
Zip
84105-2651
Phone Number
802-922-0872
Salt Lake City, UT 84105Get directions →

Provider Business Mailing Address Details

Address
108 N Hill RD
Stowe, VT 05672-4597
City
Stowe
State
VT
Zip
05672-4597
Phone Number
802-922-0872

License Information

License Number
042.0040414
License State
VT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ilsley B Colton, MD?

The NPI number of Mr. Ilsley B Colton, MD is 1063943116. It was assigned on March 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Ilsley B Colton, MD?

Mr. Ilsley B Colton, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 042.0040414.

Where does Mr. Ilsley B Colton, MD practice?

The practice location is 1409 E Bryan Ave, Salt Lake City, UT 84105-2651. The office can be reached at 802-922-0872 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063943116 directly on the NPPES registry website.

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