Forward Medical PC
NPI 1245039940ActiveOrganization· General Practice· Lehi, UT
General Practice in Lehi, Utah, registered in NPPES in March 2025. The authorized official on file is David Bullock, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1245039940 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2025 |
| Last updated in NPPES | Aug 18, 2026 |
| Certified by provider | Aug 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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