Utah Neurological Clinic, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UTAH NEUROLOGICAL CLINIC, PC

Practice address

1055 N 300 W Ste 400
Provo, UT 84604-3359

Phone

(801) 357-7404

Fax

(801) 357-7587

NPI assigned

Apr 15, 2025

Organization subpart

Yes

Parent organization

UTAH NEUROLOGICAL CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Miriam Birch

Title

CPC

Phone

(801) 655-4844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Utah Neurological Clinic, PC

  • Orthopaedic Surgery of the Spine Physician
  • Provo, UT
  • NPI 1316165947

  3375575582

  Same PAC ID

Part of

Paul K Garner MD

Practitioners 2

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

• Lynn Miller Gaufin, M.D.

  • Neurological Surgery Physician
  • Provo, UT
  • NPI 1205857158
  NPD
• Jon Adam Kimball, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
  • NPI 1053720565
  NPD

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1285420570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 400",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043359",
            "telephone_number": "801-357-7404",
            "fax_number": "801-357-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 400",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043359",
            "telephone_number": "801-357-7404",
            "fax_number": "801-357-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH NEUROLOGICAL CLINIC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH NEUROLOGICAL CLINIC, INC.",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CPC",
        "authorized_official_telephone_number": "801-655-4844"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah CVS Pharmacy LLC
• Utah CVS Pharmacy, L.L.C.
• Utah Home Health and Hospice LLC
• Utah Integrative Psychiatry & Addiction Medicine
• Utah Lakes Neuroscience Mental Health Center PLLC
• Utah Neurological Clinic, PC
• Utah Neurological Clinic, PC
• Utah Podiatry Group PC
• Utah Psychological Associates, LLC
• Utah Sleep Medicine Center

• Durable Medical Equipment & Medical Supplies in Provo, UT
• Providers in Provo, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.