Organization Active NPI

Southern Utah Primary and Urgent Care

  • Primary Care Clinic/Center
  • St George, UT
National Provider Identifier
1689578049
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SOUTHERN UTAH PRIMARY AND URGENT CARE
Practice address
4617 S Pioneer Rd Ste 101E
Saint George, UT 84790-5156
Phone
(435) 266-3321
Fax
(435) 266-3322
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Mr. Bradley James Olsen, DNP/FNP-C
Title
Nurse Practioner
Phone
(435) 266-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4617 S Pioneer Rd Ste 101E
Saint George, UT 84790-5156

Mailing address

4617 S Pioneer Rd Ste 101E
Saint George, UT 84790-5156
Phone (435) 266-3321

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1689578049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 S PIONEER RD STE 101E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905156",
            "telephone_number": "435-266-3321",
            "fax_number": "435-266-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 S PIONEER RD STE 101E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905156",
            "telephone_number": "435-266-3321",
            "fax_number": "435-266-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH PRIMARY AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "435-266-3321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DNP/FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.