ALAN L COLLEDGE MD NPI 1629169370

NPI Information

  • NPI: 1629169370
  • Provider Name: ALAN L COLLEDGE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1055 N 500 W
    SUITE 121
    PROVO, UT
    ZIP 84604
  • Phone: (801) 373-7350

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NPI Details

Alan L Colledge, MD is a family medicine in Provo, 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. Alan L Colledge, MD NPI is 1629169370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1055 N 500 W
SUITE 121
PROVO, UT
ZIP 84604-305
Phone: (801) 373-7350
Fax: (801) 812-5401

The NPI 1629169370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 9/27/2006 and was last updated on 11/27/2023.

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 Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery178606-1205UTAHNo
2207Q00000XFamily Medicine178606-1205UTAHYes

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
1020188719OTHERUTAHPALMETTO
220025OTHERUTAHDMBA
3QM000056643OTHERUTAHALTIUS
4107006523102OTHERUTAHIHC
52300056OTHERUTAHUTAH HEALTHCARE
668082OTHERUTAHPEHP
7870281028COLOTHERUTAHEMIA

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: 11/21/2025

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