OrganizationActive
Brigham Young University
NPI 1790175628 · Family Medicine Physician · Provo, UT
Brigham Young University is a Family Medicine Physician organization in Provo, UT (NPI 1790175628).
Provider details
- NPI number
- 1790175628
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
173 Richards Building
Dance Department
Provo, UT 84602-2000
Phone: (972) 367-4845
Fax: (972) 367-3452
Approximate (ZIP-level) locationGet directions
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Other names (DBA / former)
- Doing business as
- Byu Dance
Registry dates
- Enumerated
- 2015-01-30
- Last updated
- 2017-05-11
Frequently asked questions
- What is Brigham Young University's NPI number?
- Brigham Young University's National Provider Identifier (NPI) is 1790175628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brigham Young University?
- Brigham Young University is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Brigham Young University located?
- Brigham Young University's practice location on file with NPPES is 173 Richards Building, Provo, UT 84602-2000.
- What is Brigham Young University's phone number?
- The practice phone number listed in the NPPES registry for Brigham Young University is (972) 367-4845.
- Who is the authorized official for Brigham Young University?
- The authorized official listed on Brigham Young University's NPPES record is Mouzon Bass, Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brigham Young University's NPI active?
- Yes — Brigham Young University's NPI (1790175628) is active in the NPPES registry as of the last update on 2017-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.