Active NPI
Medical Arts Center Clinic of Brigham City Inc
- Family Medicine Physician
- Brigham City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0524744 | Medical Arts Center Clinic | Certificate of waiver | Dec 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Brigham City, UT
- NPI 1205320991
-
- Family Medicine Physician
- Brigham City, UT
- NPI 1497526560
-
- Family Medicine Physician
- Brigham City, UT
- NPI 1780119925
-
- Family Medicine Physician
- Brigham City, UT
- NPI 1801089214
-
- Physician Assistant
- Layton, UT
- NPI 1972058048
-
- Family Medicine Physician
- Brigham City, UT
- NPI 1003848797
-
- Family Medicine Physician
- Brigham City, UT
- NPI 1265464960
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.