OrganizationActive
Blake R. Beazer, M.D., Inc
NPI 1184807992 · Family Medicine Physician · Tooele, UT
Provider details
- NPI number
- 1184807992
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blake Beazer, Medical Doctor(435) 882-2358
- License
- 52480801205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2356 N 400 E
Ste. 201
Tooele, UT 84074-3409
Phone: (435) 882-2350
Fax: (435) 882-2039
Street-level locationGet directions
Mailing address
2356 N 400 E
Tooele, UT 84074-3409
Registry dates
- Enumerated
- 2007-12-14
- Last updated
- 2014-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.