Utah Modern Medical LLC
NPI 1689310948 · General Practice Physician · Lehi, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utah Modern Medical LLC is a General Practice Physician organization in Lehi, UT (NPI 1689310948).
Provider details
- NPI number
- 1689310948
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dave Bullock, Owner(385) 455-7170
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Frequently asked questions
- What is Utah Modern Medical LLC's NPI number?
- Utah Modern Medical LLC's National Provider Identifier (NPI) is 1689310948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Utah Modern Medical LLC?
- Utah Modern Medical LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Utah Modern Medical LLC located?
- Utah Modern Medical LLC's practice location on file with NPPES is 3300 N Ashton Blvd, Lehi, UT 84043-6153.
- What is Utah Modern Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Utah Modern Medical LLC is (385) 455-7170.
- Does Utah Modern Medical LLC accept Medicare?
- Utah Modern Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Utah Modern Medical LLC?
- The authorized official listed on Utah Modern Medical LLC's NPPES record is Dave Bullock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Utah Modern Medical LLC's NPI active?
- Yes — Utah Modern Medical LLC's NPI (1689310948) is active in the NPPES registry as of the last update on 2025-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.