Brigham Medical Clinic, Inc. - Medicare Primary Care in Brigham City, UT

Brigham Medical Clinic, Inc. is a medicare enrolled primary clinic (Family Medicine) in Brigham City, Utah. The current practice location for Brigham Medical Clinic, Inc. is 600 W Hospital Rd, Brigham City, Utah. For appointments, you can reach them via phone at (435) 734-2041. The mailing address for Brigham Medical Clinic, Inc. is Po Box 719, Brigham City, Utah and phone number is (435) 734-2041.

Brigham Medical Clinic, Inc. is licensed to practice in Utah (license number 175715-1205). The clinic also participates in the medicare program and its NPI number is 1922119528. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (435) 734-2041.

Contact Information

Brigham Medical Clinic, Inc.
600 W Hospital Rd
Brigham City
UT 84302-3006
(435) 734-2041
(435) 723-8028

Map and Direction


Primary Care Clinic Profile

Full NameBrigham Medical Clinic, Inc.
SpecialityFamily Medicine
Location600 W Hospital Rd, Brigham City, Utah
Authorized Official Name and PositionAnnette Dickamore (ASSISTANT OFFICE MANAGER)
Authorized Official Contact4357342041
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brigham Medical Clinic, Inc.
Po Box 719
Brigham City
UT 84302-0719

Ph: (435) 734-2041
Brigham Medical Clinic, Inc.
600 W Hospital Rd
Brigham City
UT 84302-3006

Ph: (435) 734-2041

NPI Details:

NPI Number1922119528
Provider Enumeration Date08/31/2006
Last Update Date11/25/2009

Medicare PECOS Information:

Medicare PECOS PAC ID8628000809
Medicare Enrollment IDO20050908000720

Medical Identifiers

Medical identifiers for Brigham Medical Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922119528NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 175715-1205 (Utah)Primary
207Q00000XFamily Medicine 151481-1205 (Utah)Secondary
207Q00000XFamily Medicine 151559-1205 (Utah)Secondary
207Q00000XFamily Medicine 160903-1205 (Utah)Secondary
207R00000XInternal Medicine 163362-1205 (Utah)Secondary
207R00000XInternal Medicine 185588-1205 (Utah)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Brigham Medical Clinic, Inc. acts as a billing entity for following providers:
Provider NameDavid G Wilding
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740391226
PECOS PAC ID: 8123041779
Enrollment ID: I20060110000127
Provider NameLindee P Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194038489
PECOS PAC ID: 3072639343
Enrollment ID: I20100923000737
Provider NameTye B Harrison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053631069
PECOS PAC ID: 9335433291
Enrollment ID: I20160816001091
Provider NameStephan Michael Moss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063906857
PECOS PAC ID: 3779822325
Enrollment ID: I20190227000303
Provider NameKatherine Joan Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922736602
PECOS PAC ID: 8820474836
Enrollment ID: I20220928002572
Provider NameEmily Elizabeth George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992584221
PECOS PAC ID: 2961859376
Enrollment ID: I20231107001640

Reviews and Comments


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Phone: 435-723-5248    Fax: 877-395-5866

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.