Individual provider Active NPI

Richard Glen Birch, D.O.

  • Family Medicine Physician
  • Panguitch, UT
National Provider Identifier
1124135462
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
273038-1204 Issued in UT
Practice address
200 N 400 E
Panguitch, UT 84759-7803
Phone
(435) 676-8842
NPI assigned
Aug 24, 2006
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 273038-1204 UT Primary

Addresses

Primary practice location

200 N 400 E
Panguitch, UT 84759-7803

Mailing address

200 N 400 E
Panguitch, UT 84759-7803
Phone (435) 676-8842

Other identifiers 2

IdentifierTypeStateIssuer
876000309OtherUTTAX ID #
D0451MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service Other Bluemark LLC / Office Ally

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
I20031227000011 UT Practitioner - Family Practice 1850299900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garfield CountyGroup PAC ID 6305744459, shared by 6 NPIs, 11 clinicians

Practice addresses (Care Compare)

200 N 400
Garfield Memorial Hospital Physicians Group
Panguitch, UT 84759-0389
Phone (435) 676-8842

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273038-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield County Family Medicine CurrentSince Jul 1, 2000 Accepting new patients
Garfield County CurrentSince Jan 1, 2026 Accepting new patients
Garfield County CurrentSince Jul 1, 2000 Accepting new patients
Garfield County Past Accepting new patients
Garfield County Past Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

4646 W Lake Park Blvd
#3
West Valley City, UT 84120

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1124135462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 400 E",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847597803",
            "telephone_number": "435-676-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 400 E",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847597803",
            "telephone_number": "435-676-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "RICHARD",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "273038-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "876000309",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0451",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Panguitch, UT

Sources for this page

Verify at the official NPI Registry.