OrganizationActive
Mountainwest Surgical Center LLC
NPI 1124079843 · Ambulatory Surgical Clinic/Center · Bountiful, UT
Provider details
- NPI number
- 1124079843
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Berg, Administrator(801) 383-1111
- License
- 2006-31532 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1551 S Renaissance Towne Dr
Suite 200
Bountiful, UT 84010-7667
Phone: (801) 383-1111
Fax: (801) 383-1115
Approximate (ZIP-level) locationGet directions
Mailing address
1551 Renaissance Towne Dr Ste 200
Bountiful, UT 84010-7668
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2009-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.