Mountain West Family Practice LLC
NPI 1770581605 · Family Medicine Physician · Tooele, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain West Family Practice LLC is a Family Medicine Physician organization in Tooele, UT (NPI 1770581605).
Provider details
- NPI number
- 1770581605
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blake Beazer, President(435) 882-2350
- License
- 2005172 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 3435 E Pony Express Pkwy Ste 140Eagle Mountain, UT 84005-5548Phone: (801) 789-2444Fax: (801) 789-2045
- 3688 W 2100 SSalt Lake City, UT 84120-1202Phone: (435) 830-0554Fax: (435) 882-2039
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Frequently asked questions
- What is Mountain West Family Practice LLC's NPI number?
- Mountain West Family Practice LLC's National Provider Identifier (NPI) is 1770581605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain West Family Practice LLC?
- Mountain West Family Practice LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain West Family Practice LLC located?
- Mountain West Family Practice LLC's practice location on file with NPPES is 2356 N 400 E, Tooele, UT 84074.
- What is Mountain West Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain West Family Practice LLC is (435) 882-2350.
- Does Mountain West Family Practice LLC accept Medicare?
- Mountain West Family Practice 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 Mountain West Family Practice LLC?
- The authorized official listed on Mountain West Family Practice LLC's NPPES record is Blake Beazer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain West Family Practice LLC's NPI active?
- Yes — Mountain West Family Practice LLC's NPI (1770581605) is active in the NPPES registry as of the last update on 2020-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.