Brett Alan Seely, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7421949-1206 Issued in UT

Practice address

879 N Main St
Richfield, UT 84701-1840

Phone

(435) 896-9561

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Mountain Utah Family MedicineGroup PAC ID 9830276112, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Utah Family Medicine

  • Rural Health Clinic/Center
  • Richfield, UT
  • NPI 1659402774
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health Sevier Valley Hospital

  • General Acute Care Hospital
  • Richfield, UT
  • NPI 1336256775
  Care Compare affiliation

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1801343801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011840",
            "telephone_number": "435-896-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011840",
            "telephone_number": "435-896-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELY",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "7421949-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas D Rose, D.C.
• Thomas Charles Russell Sr., SOCIAL WORK
• Ryza Audiology, LLC
• Lisa Sanders, FNP
• Chelise Nicole Sawyer, CSW
• Sevier School District
• Sevier School District
• Sevier Valley Anesthesia Group, LLP
• Sevier Valley Dental (Forever Young Dental)
• Sevier Valley Hyperbarics

• Medical Physician Assistant in Richfield, UT
• Providers in Richfield, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.