Active NPI
Spencer Craig Checketts, MD, MPH
- Occupational Medicine Physician
- Brigham City, UT
National Provider Identifier
1073507893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 359818-1205
- Practice address
- 111 E Forest St # 1
Brigham City, UT 84302-3603 - Phone
- (435) 553-4787
- Fax
- (435) 239-7089
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 359818-1205 | UT | Primary |
Addresses
Primary practice location
111 E Forest St # 1
Brigham City, UT 84302-3603
Mailing address
111 E Forest St # 1
Brigham City, UT 84302-3603
Phone (435) 553-4787
Other practice location 1
Unit 5210 Box 230
Apo, AE 09461
GB
Phone 441638528040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- spencer.checketts@3104.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073507893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E FOREST ST # 1",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023603",
"telephone_number": "435-553-4787",
"fax_number": "435-239-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E FOREST ST # 1",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023603",
"telephone_number": "435-553-4787",
"fax_number": "435-239-7089"
}
],
"practiceLocations": [
{
"address_1": "Unit 5210 Box 230",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "09461",
"country_code": "GB",
"telephone_number": "441638528040",
"country_name": "Great Britain",
"address_type": "FGN"
}
],
"basic": {
"last_name": "CHECKETTS",
"first_name": "SPENCER",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "UT",
"license": "359818-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.