Alpine Pain & Spinal Rehabilitation Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ALPINE PAIN & SPINAL REHABILITATION INC

Practice address

3051 W Maple Loop Dr Ste 125
Lehi, UT 84043-5620

Phone

(801) 766-6055

Fax

(888) 611-8840

NPI assigned

Nov 14, 2017

Last updated

Oct 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent H Egan, APRNNPI 1376634998

Title

President

Phone

(801) 766-6055

Specialties & licenses 2

Addresses

Other names 1

• Alpine Pain Solutions of Utah Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent H Egan, NP

  • Nurse Practitioner
  • Lehi, UT
  • NPI 1376634998
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1255844015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 W MAPLE LOOP DR STE 125",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435620",
            "telephone_number": "801-766-6055",
            "fax_number": "888-611-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 W MAPLE LOOP DR STE 125",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435620",
            "telephone_number": "801-766-6055",
            "fax_number": "888-611-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE PAIN & SPINAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-766-6055",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Pain Solutions of Utah Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Annmarie Allred, CASUDCI
• Diane W Allred, FNP
• McKay D Allred, MD
• Alpen Implants and Periodontics Specialists LLC (Alpen Implants and Periodontics)
• Alpine Meadows Family Dental
• Alpine Ped Center Inc
• Alpine Surgical Arts, PC
• Alpsutah, Inc
• Megan Audrey Alves
• Erin Amata, LCSW

• Interventional Pain Medicine Physician in Lehi, UT
• Providers in Lehi, UT by specialty
• Interventional Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.