OrganizationActive
Main Street Family Medicine PLLC
NPI 1518636844 · Family Medicine Physician · Enterprise, UT
Provider details
- NPI number
- 1518636844
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Colten Bracken, Md/Owner(435) 878-5711
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
571 East Main Street
Enterprise, UT 84725
Phone: (435) 878-5711
Approximate (ZIP-level) locationGet directions
Mailing address
571 East Main Street
Enterprise, UT 84725
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-10-29
- Certified
- 2021-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.