Bridge Utah Medical Group
NPI 1104324904 · Physical Medicine & Rehabilitation Physician · Logan, UT
Bridge Utah Medical Group is a Physical Medicine & Rehabilitation Physician organization in Logan, UT (NPI 1104324904).
Provider details
- NPI number
- 1104324904
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cameron Peterson, Chief Medical Officer, Managing Par(801) 598-8337
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-26
- Last updated
- 2019-03-14
Frequently asked questions
- What is Bridge Utah Medical Group's NPI number?
- Bridge Utah Medical Group's National Provider Identifier (NPI) is 1104324904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridge Utah Medical Group?
- Bridge Utah Medical Group is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Bridge Utah Medical Group located?
- Bridge Utah Medical Group's practice location on file with NPPES is 1015 E 100 N, Logan, UT 84321-4873.
- What is Bridge Utah Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Bridge Utah Medical Group is (888) 221-0423.
- Who is the authorized official for Bridge Utah Medical Group?
- The authorized official listed on Bridge Utah Medical Group's NPPES record is Cameron Peterson, Chief Medical Officer, Managing Par. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridge Utah Medical Group's NPI active?
- Yes — Bridge Utah Medical Group's NPI (1104324904) is active in the NPPES registry as of the last update on 2019-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.