Individual provider Active NPI

Brock Anthony Higgs, NP-C

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1487305868
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9629878-4405 Issued in UT
Practice address
4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103
Phone
(385) 350-8500
Fax
(385) 350-8555
NPI assigned
Jan 17, 2022
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9629878-4405 UT Primary
Family Medicine Physician 207Q00000X 9629878-4405 UT

Addresses

Primary practice location

4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103

Mailing address

4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103
Phone (385) 350-8500

Other identifiers 1

IdentifierTypeStateIssuer
1487305868MedicaidUT

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220330001156 UT Practitioner - Nurse Practitioner 3476949546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Utah LLCGroup PAC ID 2769468065, 31 clinicians

Practice addresses (Care Compare)

5285 S 400
Suite B
Washington Terrace, UT 84405-7194
Phone (801) 779-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9629878-4405UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Utah LLC CurrentSince Feb 28, 2022 Accepting new patients
Kidney & Hypertension Institute of Northern Utah LLC Past Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 340
Bountiful, UT 84010
Phone (801) 288-2634

1735 W 2700 N
Pleasant View, UT 84404
Phone (801) 737-9664

12523 S Creek Meadow Rd
Ste 111
Riverton, UT 84065
Phone (801) 288-2634

942 Chambers St
Ste 15
South Ogden, UT 84403
Phone (801) 476-3400

3702 S State St
Ste 107
South Salt Lake, UT 84115
Phone (801) 288-2634

1244 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 249-0007

5285 S 400 E
#B
Washington Terrace, UT 84405
Phone (801) 476-7300

3823 W 9000 S
West Jordan, UT 84088
Phone (801) 288-2634

2965 W 3500 S
Fl 2
West Valley City, UT 84119
Phone (801) 288-2634

4101 W Pioneer Pkwy
Ste 103
West Valley City, UT 84120
Phone (801) 288-2634

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • Direct secure messaging: bhiggs36606@direct.acumenmd.com

Organizations & group practices 2

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 5

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1487305868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGS",
        "first_name": "BROCK",
        "middle_name": "ANTHONY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "9629878-4405",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9629878-4405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487305868",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.