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BLAKE R. BEAZER, M.D., INC
NPI 1184807992
Family Medicine in Tooele, UT

Active since December 14, 2007
2356 N 400 E, STE. 201, TOOELE, UT 84074(435) 882-2350(435) 882-2039 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blake R. Beazer, M.d., Inc NPPES

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

BLAKE R. BEAZER, M.D., INC (NPI 1184807992) is a healthcare organization registered as a family medicine in Tooele, Utah and active in the NPI registry since December 2007. The organization lists Blake Richard Beazer, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1184807992
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLAKE R. BEAZER, M.D., INC
Location Address2356 N 400 E, STE. 201Tooele, UT 84074-3409
Mailing Address2356 N 400 E, Ste. 201Tooele, UT 84074-3409 · (435) 882-2350 · Fax (435) 882-2039
Phone(435) 882-2350
Fax(435) 882-2039
Organization SubpartNo
Authorized OfficialBlake Richard BeazerMedical Doctor · (435) 882-2358
Enumeration DateDecember 14, 2007
Last NPPES UpdateJanuary 10, 2014
✔ NPI 1184807992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 52480801205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2356 N 400 E, Tooele, UT 84074
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Other Identifiers 1

Other000057289UT · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake R. Beazer, M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blake R. Beazer, M.D., Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Blake Beazer, MD
Family Practice
NPI 1073510012
2356 N 400 E STE 201
Tooele, UT 84074
(435) 882-2350
✔ PECOS✔ Accepts MedicareSame address
Marlee Dalton, CNM, ARPN
Nurse Practitioner
NPI 1730175761
2376 N 400 E STE 203
Tooele, UT 84074
(435) 882-0599
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blake R. Beazer, M.D., Inc's NPI number?

The NPI number for Blake R. Beazer, M.D., Inc is 1184807992. It was assigned to this organization in the NPPES registry on December 14, 2007.

Where is Blake R. Beazer, M.D., Inc located?

Blake R. Beazer, M.D., Inc is located at 2356 N 400 E Ste. 201, Tooele, UT 84074. The listed phone number is (435) 882-2350.

What is Blake R. Beazer, M.D., Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blake R. Beazer, M.D., Inc enrolled in Medicare?

Yes. Blake R. Beazer, M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blake R. Beazer, M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Blake R. Beazer, M.D., Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blake R. Beazer, M.D., Inc accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Blake R. Beazer, M.D., Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake R. Beazer, M.D., Inc was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.