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MR. CONNOR MITCHELL UDY PA-C
NPI 1063362267
Physician Assistant - Medical in Brigham City, UT

Active since January 29, 2026PECOS Enrolled
1030 S MEDICAL DR, BRIGHAM CITY, UT 84302(435) 237-7822 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Connor Mitchell Udy Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CONNOR MITCHELL UDY PA-C (NPI 1063362267) is an individual medical provider in Brigham City, Utah, licensed in Utah (14270193-1206) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063362267
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CONNOR MITCHELL UDYCredential: PA-C
Location Address1030 S MEDICAL DRBrigham City, UT 84302-3119
Mailing Address1030 S Medical DrBrigham City, UT 84302-3119 · (435) 787-2000
Phone(435) 237-7822
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1063362267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · 14270193-1206
1030 S MEDICAL DR, Brigham City, UT 84302
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Connor Mitchell Udy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466937594
PECOS Enrollment IDI20260326003216
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMELIA LITTLEFIELD PA-C
Physician Assistant
1030 S MEDICAL DR
BRIGHAM CITY, UT 84302
Box Elder County (435) 295-3355
ORTHOPAEDIC THERAPY AND SPORTS PERFORMANCE LLC
Clinic/Center (Physical Therapy)
1030 S MEDICAL DR, STE B
BRIGHAM CITY, UT 84302
Box Elder County (435) 538-5111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Udy's NPI number?

The NPI number for Connor Udy is 1063362267. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Connor Udy located?

Connor Udy practices at 1030 S Medical Dr, Brigham City, UT 84302. The listed phone number is (435) 237-7822.

What is Connor Udy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Connor Udy enrolled in Medicare?

Yes. Connor Udy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Udy was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.