Brecken Dewey Moore, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

120502688900 Issued in UT

Practice address

7410 S Creek Rd Ste 100
Sandy, UT 84093-6151

Phone

(801) 816-1010

NPI assigned

May 15, 2023

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alberto Souza PLLCGroup PAC ID 1254766371, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brecken.moore@235818542825476.direct.elationemr.com

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.

• Alberto Souza, PLLC

  dba Integrated Psych, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • St George, UT
  • NPI 1972141588
  Medicare reassignment Care Compare group NPD
• Desert Diabetes LLC

  dba Desert Diabetes Thyroid and Hormone

  • Nurse Practitioner
  • St George, UT
  • NPI 1881552933
  NPD Authorized official
• Talbert Medical Group

  • Health Maintenance Organization
  • Costa Mesa, CA
  • NPI 1497759005
  NPD (past)

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

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336830108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W TUSCANY VIEW RD UNIT 1705",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474826",
            "telephone_number": "435-590-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 S CREEK RD STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936151",
            "telephone_number": "801-816-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRECKEN",
        "middle_name": "DEWEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-09-11",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "120502688900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa L Mock, MAOM, L.AC.
• Modern Dental Professionals Utah, PC (Monarch Dental - Sandy)
• Julia Carroll Moench-Parent, ACMHC
• Scott Richard Moffitt, PA-C
• Momentum Counseling Services, Corp
• Gabriella Hayes Moore, RN
• John Michael Moore, NP-C
• Moove PT
• Marissa Lou Moran, DPT
• Alexander Todd Morgan, LCSW

• Nurse Practitioner in Sandy, UT
• Providers in Sandy, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.