Organization Active NPI

Medical Arts Center Clinic of Brigham City Inc

  • Family Medicine Physician
  • Brigham City, UT
National Provider Identifier
1649375270
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC
Practice address
1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Phone
(435) 723-5248
Fax
(435) 723-5240
NPI assigned
Sep 14, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Kelly Knudsen
Title
Office Manager
Phone
(435) 734-3901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293

Mailing address

1041 S Medical Dr Ste 200
Brigham City, UT 84302-3293
Phone (435) 723-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040117000175 UT Part B Supplier - Clinic/Group Practice 9931000460 Receives reassigned benefits from 12 practitioners
Practice locations: Brigham City, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0524744Medical Arts Center Clinic1041 S Medical Dr, Ste 200, Brigham City, UT 84302Certificate of waiverDec 30, 2027

National Provider Directory

National Provider Directory

Locations

1041 S Medical Dr
Ste 200
Brigham City, UT 84302
Phone (435) 723-5248

984 Medical Dr
Ste 1
Brigham City, UT 84302
Phone (435) 723-5248

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1649375270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S MEDICAL DR STE 200",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023293",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S MEDICAL DR STE 200",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023293",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "KNUDSEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-734-3901"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.