Individual provider Active NPI

Britton R Ercanbrack, DO

  • Family Medicine Physician
  • Payson, UT
National Provider Identifier
1033349733
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8273522-1204 Issued in UT
Practice address
854 Turf Farm Rd Unit 1
Payson, UT 84651-5733
Phone
(801) 465-6250
NPI assigned
Jul 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52986 MN
Family Medicine Physician 207Q00000X 8273522-1204 UT Primary

Addresses

Primary practice location

854 Turf Farm Rd Unit 1
Payson, UT 84651-5733

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 465-6250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address britton.ercanbrack@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002436 UT Practitioner - Family Practice 7012102007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

854 Turf Farm Rd
Unit 1
Payson, UT 84651-5733
Phone (801) 465-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
52986MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2015 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Ihc Health Services Inc Family Medicine Past Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

854 S Turf Farm Rd
Unit 1
Payson, UT 84651
Phone (801) 357-2860

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1033349733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-465-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 TURF FARM RD UNIT 1",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515733",
            "telephone_number": "801-465-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCANBRACK",
        "first_name": "BRITTON",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52986",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8273522-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "britton.ercanbrack@direct.imail.org",
            "affiliation": "N",
            "address_1": "854 Turf Farm Rd Unit 1",
            "city": "Payson",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846515733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

Verify at the official NPI Registry.