NPIMap

Organization Active NPI

Bedrock Health Center, PLLC

  • Health Service Clinic/Center
  • Kaysville, UT
National Provider Identifier
1770050684
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BEDROCK HEALTH CENTER, PLLC
Practice address
347 N 300 W Ste 203
Kaysville, UT 84037-1828
Phone
(801) 593-1660
Fax
(801) 593-1663
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Tami L Pearce, FNP-C
Title
Owner/Manager
Phone
(801) 372-5899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

347 N 300 W Ste 203
Kaysville, UT 84037-1828

Mailing address

347 N 300 W Ste 203
Kaysville, UT 84037-1828
Phone (801) 593-1660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1770050684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N 300 W STE 203",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371828",
            "telephone_number": "801-593-1660",
            "fax_number": "801-593-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N 300 W STE 203",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371828",
            "telephone_number": "801-593-1660",
            "fax_number": "801-593-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-372-5899",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.