OrganizationActive
Stat-Md I
NPI 1164063277 · Primary Care Clinic/Center · Park City, UT
Provider details
- NPI number
- 1164063277
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Knepper, Owner(435) 604-0160
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1784 Uinta Way Unit E2
Park City, UT 84098-7685
Phone: (435) 604-0160
Fax: (435) 731-8328
Street-level locationGet directions
Mailing address
Po Box 981630
Park City, UT 84098-1630
Registry dates
- Enumerated
- 2019-10-01
- Last updated
- 2019-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.