BRENT LEE THOMPSON NURSE PRACTITIONER
NPI 1063863876
Nurse Practitioner - Primary Care in Slc, UT

Q: What is Brent Thompson's NPI number?

The NPI number for Brent Thompson is 1063863876. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Q: What is Brent Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Brent Thompson was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since June 23, 2016PECOS Enrolled

441 S REDWOOD RD, SLC, UT 84104(801) 973-2588(801) 973-6985 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brent Lee Thompson Nurse Practitioner NPPES

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

BRENT LEE THOMPSON NURSE PRACTITIONER (NPI 1063863876) is an individual primary care provider in Slc, Utah, licensed in Utah (8021622-8900) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063863876

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameBRENT LEE THOMPSONCredential: NURSE PRACTITIONER

Location Address441 S REDWOOD RDSlc, UT 84104-3539

Mailing Address441 S Redwood RdSlc, UT 84104-3539 · (801) 973-2588 · Fax (801) 973-6985

Phone(801) 973-2588

Fax(801) 973-6985

Sole ProprietorYes

Enumeration DateJune 23, 2016

✔ NPI 1063863876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in UT · 8021622-8900

441 S REDWOOD RD, Slc, UT 84104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent Lee Thompson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 14

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

STEPHEN D BULLOCK APRN

Nurse Practitioner (Family)