OrganizationActive
Aspen Physician Group LLC
NPI 1184210031 · Geriatric Medicine (Family Medicine) Physician · Bountiful, UT
Provider details
- NPI number
- 1184210031
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derek Collette, Authorized Official(801) 997-1276
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1217 E 1650 S
Bountiful, UT 84010-1586
Phone: (801) 997-1276
Street-level locationGet directions
Mailing address
Po Box 1243
Provo, UT 84603-1243
Registry dates
- Enumerated
- 2020-12-15
- Last updated
- 2023-12-22
- Certified
- 2023-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.