Individual provider Active NPI

Brett Kelsey Knorr, M.D.

  • Pediatrics Physician
  • Pleasant Grove, UT
National Provider Identifier
1083655120
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
372259-1205 Issued in UT
Practice address
1912 W 930 N
Pleasant Grove, UT 84062-4104
Phone
(801) 492-1999
Fax
(801) 492-1991
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 372259-1205 UT Primary

Addresses

Primary practice location

1912 W 930 N
Pleasant Grove, UT 84062-4104

Mailing address

5555 W 10600 N
Highland, UT 84003-8894
Phone (801) 492-1999

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
I20150514000347 UT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8123348208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
372259-1205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Pediatrics, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brett.knorr.p1@direct.alpinepeds.nextgenshare.com

Organizations & group practices 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083655120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W 10600 N",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038894",
            "telephone_number": "801-492-1999",
            "fax_number": "801-492-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 W 930 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624104",
            "telephone_number": "801-492-1999",
            "fax_number": "801-492-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNORR",
        "first_name": "BRETT",
        "middle_name": "KELSEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "372259-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.