Family Medicine
NORTHEASTERN UTAH MEDICAL GROUP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1982664199 · enumerated 2006-03-23 · record updated 2025-10-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: BRENT HALES, CFO · (435) 722-6164
Addresses and phones
- Mailing address 210 W 300 N, ROOSEVELT, UT, 84066-2336 (435) 722-3971 Fax (435) 722-6104 Google Maps Apple Maps OpenStreetMap
- Practice location 210 W 300 N 7-3, ROOSEVELT, UT, 84066 (435) 722-3971 Fax (435) 722-6104 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X
- Pediatrics 208000000X
- Surgery 208600000X
- Orthopaedic Surgery 207X00000X
- Ophthalmology 207W00000X
- Physical Medicine & Rehabilitation 208100000X
- Dermatology 207N00000X
- Pathology, Clinical Pathology/Laboratory Medicine 207ZP0105X
- Otolaryngology 207Y00000X
- Obstetrics & Gynecology 207V00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
ROOSEVELT, UT, 84066
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.