Perry Family Medicine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

277575-4405 Issued in UT

Legal business name

PERRY FAMILY MEDICINE LLC

Practice address

1030 Medical Dr
Suite a
Brigham City, UT 84302-3050

Phone

(435) 723-4500

Fax

(435) 723-4504

NPI assigned

May 10, 2011

Last updated

Mar 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Lynn Duncan, FNP-C

Title

Provider/Owner

Phone

(801) 668-4860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1558653501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023050",
            "telephone_number": "435-723-4500",
            "fax_number": "435-723-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023050",
            "telephone_number": "435-723-4500",
            "fax_number": "435-723-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "801-668-4860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "277575-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Medical Peachtree, Inc. (Country Lane Assisted Living)
• Peak Medical Utah No. 2, Inc. (Brigham City Nursing & Rehab)
• Adam T Peck
• Tina Peck, LCSW
• Verlicia Annette Perez
• Peter C. Knudson DDS, Ms, PC
• Brady Paul Petersen
• Chelsea Petersen
• Rebecca Petersen, PHARM D
• Amber Dawn Peterson, FNP-C

• Clinic/Center in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.