Individual provider Active NPI

Brent Wells Lambson, DO

  • Sports Medicine (Family Medicine) Physician
  • Orem, UT
National Provider Identifier
1548729734
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
11837358-1204 Issued in UT
Practice address
700 W 800 N Ste 100
Orem, UT 84057-6301
Phone
(801) 354-8225
Fax
(801) 418-0941
NPI assigned
Mar 18, 2019
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11837358-1204 UT
Sports Medicine (Family Medicine) Physician 207QS0010X 11837358-1204 UT Primary

Addresses

Primary practice location

700 W 800 N Ste 100
Orem, UT 84057-6301

Mailing address

1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225

Other practice location 1

1022 N Redwood Rd Ste B
Saratoga Springs, UT 84045-5387
Phone (801) 354-8225

Other practice location 2

1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@reverehealth.com Direct Revere Health PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200811002014 UT Practitioner - Sports MedicinePractitioner - Family Practice 4789000589 Reassigns benefits to 3 organizations
I20241209003701 ID Practitioner - Sports Medicine 4789000589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1501 Hiland Ave F
Burley, ID 83318-2682
Phone (208) 678-4444

98 N 1100
Suite 101
American Fork, UT 84003-2940
Phone (801) 492-2550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Revere Health PC CurrentSince Jul 1, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince Jul 2, 2022 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 26, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Revere Health PC CurrentSince Jul 1, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

1501 Hiland Ave
Ste C
Burley, ID 83318
Phone (208) 677-6080

1501 Hiland Ave
Ste F
Burley, ID 83318
Phone (208) 677-6212

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

98 N 1100 E
Ste 101
Highland, UT 84003
Phone (801) 492-2273

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

475 W 940 N
Provo, UT 84604
Phone (801) 357-7909

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

1022 N Redwood Rd
Ste B
Saratoga Springs, UT 84045

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

Organizations & group practices 10

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 1

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1548729734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 800 N STE 100",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576301",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 N Redwood Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "UT",
            "postal_code": "840455387",
            "country_code": "US",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N 500 W",
            "address_2": "Attn Credentialing",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "84604",
            "country_code": "US",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBSON",
        "first_name": "BRENT",
        "middle_name": "WELLS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11837358-1204",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "11837358-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1055 N 500 W",
            "address_2": "Attn Credentialing",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.