OrganizationActive
Advantage Medical Center LLC
NPI 1053861567 · Family Medicine Physician · Brigham City, UT
Provider details
- NPI number
- 1053861567
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremiah Hoopes, Chiropractor(435) 723-0517
- License
- 5118842-0160 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
770 S 200 E
Ste 102
Brigham City, UT 84302
Phone: (435) 723-0517
Fax: (435) 723-0587
Approximate (ZIP-level) locationGet directions
Mailing address
770 S 200 E
Brigham City, UT 84302
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2016-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.