Active NPI
Optimal Family Medicine, PLLC
- Family Medicine Physician
- Bountiful, UT
National Provider Identifier
1902628597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OPTIMAL FAMILY MEDICINE, PLLC
- Practice address
- 1455 S 500 W Ste B
Bountiful, UT 84010-8252 - Phone
- (801) 784-2111
- NPI assigned
- Oct 25, 2024
- 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
- Mr. David Anderson, PA-C
- Title
- PA-C
- Phone
- (801) 784-2111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1455 S 500 W Ste B
Bountiful, UT 84010-8252
Mailing address
1455 S 500 W Ste B
Bountiful, UT 84010-8252
Phone (801) 784-2111
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1902628597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 S 500 W STE B",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108252",
"telephone_number": "801-784-2111",
"fax_number": "844-670-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 S 500 W STE B",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108252",
"telephone_number": "801-784-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-25",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PA-C",
"authorized_official_telephone_number": "801-784-2111",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.