Individual provider Active NPI

McKenzie Bright, PA-C

  • Medical Physician Assistant
  • Ogden, UT
National Provider Identifier
1043869639
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11383505-1206 Issued in UT
Practice address
1066 N 3000 W
Ogden, UT 84404-9528
Phone
(385) 501-6052
Fax
(801) 820-2849
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 11383505-1206 UT Primary

Addresses

Primary practice location

1066 N 3000 W
Ogden, UT 84404-9528

Mailing address

1066 N 3000 W
Ogden, UT 84404-9528
Phone (385) 501-6052

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108002569 UT Practitioner - Physician Assistant 7113359340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peaks Advanced Medical 4 clinicians

Practice addresses (Care Compare)

Ogden, UT 84404
Phone (385) 501-6052

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Family Medicine PC CurrentSince Sep 8, 2019 Accepting new patients
MMG LLC Past Accepting new patients
Taylor G Wright PC PastSince Feb 1, 2023 Accepting new patients

Locations

2376 N 400 E
Ste 102
Tooele, UT 84074
Phone (435) 843-1225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12102/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1043869639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 N 3000 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844049528",
            "telephone_number": "385-501-6052",
            "fax_number": "801-820-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 N 3000 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844049528",
            "telephone_number": "385-501-6052",
            "fax_number": "801-820-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "MCKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "11383505-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.