Utley Clinics Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000682A Issued in IN

Legal business name

UTLEY CLINICS INC

Practice address

720 S 6TH St
Monticello, IN 47960-8182

Phone

(765) 296-9842

Fax

(765) 296-9842

NPI assigned

Feb 7, 2007

Last updated

Jun 21, 2018By 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 Utley-Breneman, D.P.M.NPI 1063552495

Title

President

Phone

(765) 296-9842

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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.

• Cynthia Lynn Utley-Breneman, D.P.M.

  • Podiatrist
  • Monticello, IN
  • NPI 1063552495
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1700926011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 N 900 E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057569",
            "telephone_number": "765-296-9842",
            "fax_number": "765-296-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608182",
            "telephone_number": "765-296-9842",
            "fax_number": "765-296-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTLEY CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "UTLEY-BRENEMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-296-9842",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000682A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN",
            "identifier": "000000016511",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000196527",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN COMP HEALTH",
            "identifier": "00019652701",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129410A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004625100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD M",
            "identifier": "480007608",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNETT",
            "identifier": "1275",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE AND CASUALTY",
            "identifier": "691083",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU",
            "identifier": "000185153",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR SMART CHOICE",
            "identifier": "000000016511",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "407560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tribbett Family Medicine, LLC
• Charles R. Tribbett, M.D.
• Lucas Ian Trout, DDS
• Twin Lakes School Corporation
• Thomas Ulrich, RPH
• Cynthia Lynn Utley-Breneman, D.P.M.
• Vala VL Bujak Hearing Aid Service
• Christina M Van Meter
• Heidi L Van Meter, PTA
• Verve Health LLC

• Podiatrist in Monticello, IN
• Providers in Monticello, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.