NPIMap

Organization Active NPI

Apex Concierge Medicine LLC

  • Internal Medicine Physician
  • Park City, UT
National Provider Identifier
1104699446
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
APEX CONCIERGE MEDICINE LLC
Practice address
1784 Uinta Way Unit E2
Park City, UT 84098-7685
Phone
(617) 571-3680
Fax
(435) 731-8328
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Bryan Knepper
Title
Owner
Phone
(617) 571-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1784 Uinta Way Unit E2
Park City, UT 84098-7685

Mailing address

50 W Broadway Ste 333
Salt Lake City, UT 84101-2027
Phone (435) 800-5711

Other practice location 1

7724 S 5600 W Ste 102
West Jordan, UT 84081-5415
Phone (617) 571-3680

Other names 1

  • Knepper Concierge Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231208001484 UT Part B Supplier - Clinic/Group Practice 6002265568 Receives reassigned benefits from 2 practitioners
Practice locations: Park City, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2295392Apex Concierge Medicine1784 Uinta Way, Park City, UT 84098Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

1784 Uinta Way
Park City, UT 84098
Phone (435) 604-0160

7724 S 5600 W
West Jordan, UT 84081
Phone (801) 432-8480

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1104699446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY STE 333",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012027",
            "telephone_number": "435-800-5711",
            "fax_number": "435-731-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 UINTA WAY UNIT E2",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987685",
            "telephone_number": "617-571-3680",
            "fax_number": "435-731-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7724 S 5600 W Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840815415",
            "country_code": "US",
            "telephone_number": "617-571-3680",
            "fax_number": "435-731-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APEX CONCIERGE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "KNEPPER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-571-3680"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knepper Concierge Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Knepper Concierge Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.