Colten Dirk Bracken, M.D.
Individual provider Active NPI Family Medicine Physician · Enterprise, UT
NPI 1073993283 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1073993283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9832788-1205 (UT)
- Practice address
- 571 East Main Street
Enterprise, UT 84725 - Phone
- (435) 878-5711
- Fax
- (435) 878-5712
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Mayo Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revere Health PC
Lincoln County Hospital District
Practice addresses (Care Compare)
571 E Main St
Enterprise, UT 84725
Phone (435) 878-5711
571 E Main St
Enterprise, UT 84725-0070
Phone (435) 878-5711
700 N Spring St
Caliente, NV 89008-1010
Phone 7757263171012
Hospital & facility affiliations
- Zion'S Way Home Health
- Zion'S Way Hospice
- Grover C Dils Medical Center
- St. George Regional Hospital
- Intermountain Health Garfield Memorial Hospital
- Intermountain Health Cedar City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Main Street Family Medicine PLLC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Director (100%) W-2 Managing Employee (100%) |
Oct 5, 2020 Oct 5, 2020 Oct 5, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160914001810 | UT | Practitioner - Family Practice | 6709172968 | Reassigns benefits to 4 organizations |
| I20250421001582 | NV | Practitioner - Emergency Medicine | 6709172968 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (11 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Hospital District | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Main Street Family Medicine PLLC | Family Medicine | Current |
Accepting new patients |
| Revere Health PC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Lincoln County Hospital District | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Lincoln County Hospital District | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Networks
- UT PPO D-SNP
- UT PPO
Interoperability endpoints
- https://api.platform.athenahealth.com/23119/brand/1/csg/1/fhir/r4
- coltenbracken@cuccu.allscriptsdirect.net
- colten.bracken.1@23119.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9832788-1205 | UT | Yes |
Addresses
Primary practice location
571 East Main Street
Enterprise, UT 84725
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Phone (801) 354-8225
Other providers in Enterprise, UT
- Wyatt D Banks
- Benjamin D Cope, DDS, PC
- Marcus T Burton
- David Cacamis
- City of Enterprise Ambulance
- Celestia Luella Clark I
- Benjamin D Cope
All providers in Enterprise, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.