BRIGHAM MEDICAL CLINIC INC. NPI 1922119528

NPI Information

NPI: 1922119528
Provider Name: BRIGHAM MEDICAL CLINIC, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D0524732

Address:
600 W HOSPITAL RD
BRIGHAM CITY, UT
ZIP 84302
Phone: (435) 734-2041
Get Directions

BRIGHAM MEDICAL CLINIC, INC. is a family medicine in Brigham City, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRIGHAM MEDICAL CLINIC, INC. NPI is 1922119528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 W HOSPITAL RD
BRIGHAM CITY, UT
ZIP 84302-006
Phone: (435) 734-2041
Fax: (435) 723-8028

The provider's authorized official is Annette Dickamore .
The authorized official title is Assistant Office Manager and has the following contact phone number (435) 734-2041.

The CLIA number assigned to this NPI record is 46D0524732 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	151481-1205	UTAH	No
2	207Q00000X	Family Medicine	151559-1205	UTAH	No
3	207Q00000X	Family Medicine	160903-1205	UTAH	No
4	207R00000X	Internal Medicine	163362-1205	UTAH	No
5	207R00000X	Internal Medicine	185588-1205	UTAH	No
6	207Q00000X	Family Medicine	175715-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1021610001	MEDICARE NSC	UTAH
2	=========011	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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