Blue Rock Canyon Med, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLUE ROCK CANYON MED, LLC

Practice address

56 E Broadway Ste 3303
Salt Lake City, UT 84111-2232

Phone

(801) 796-2641

NPI assigned

May 23, 2026

Organization subpart

No

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

Authorized official

Name

Adam BinneboeseNPI 1508253717

Title

Director

Phone

(385) 549-4525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adam Binneboese, M.D.

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1508253717
  NPD Authorized official

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779494400000",
    "number": "1316877905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 E BROADWAY STE 3303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112232",
            "telephone_number": "801-796-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E BROADWAY STE 3303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112232",
            "telephone_number": "801-796-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ROCK CANYON MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A",
        "authorized_official_last_name": "BINNEBOESE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "385-549-4525"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Michelle Blue
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• Internal Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.