Brigham Medical Clinic, Inc.
NPI 1922119528ActiveOrganization· Family Medicine· Brigham City, UT
Family Medicine in Brigham City, Utah, registered in NPPES in August 2006. The authorized official on file is Annette Dickamore, Assistant Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922119528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Nov 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 175715-1205 | UT |
| Family Medicine | 207Q00000X | 151481-1205 | UT |
| Family Medicine | 207Q00000X | 151559-1205 | UT |
| Family Medicine | 207Q00000X | 160903-1205 | UT |
| Internal Medicine | 207R00000X | 163362-1205 | UT |
| Internal Medicine | 207R00000X | 185588-1205 | UT |
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 (UT) |
|---|
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