RED ROCK FAMILY PRACTICE, PC
NPI 1194792457
Family Medicine in Thermopolis, WY

Q: What is Red Rock Family Practice, PC's NPI number?

The NPI number for Red Rock Family Practice, PC is 1194792457. It was assigned to this organization in the NPPES registry on March 7, 2006.

Q: What is Red Rock Family Practice, PC's specialty?

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

Active since March 07, 2006

120 N C AVE, THERMOPOLIS, WY 82443(307) 864-5534(307) 864-9470 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Red Rock Family Practice, Pc NPPES

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

RED ROCK FAMILY PRACTICE, PC (NPI 1194792457) is a healthcare organization registered as a family medicine in Thermopolis, Wyoming and active in the NPI registry since March 2006. The organization lists Wade Travis Bomengen, Owner, as its authorized official.

NPPES Registry Identity

NPI1194792457

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameRED ROCK FAMILY PRACTICE, PC

Location Address120 N C AVEThermopolis, WY 82443-2410

Mailing Address120 N C AveThermopolis, WY 82443-2410 · (307) 864-5534 · Fax (307) 864-9470

Phone(307) 864-5534

Fax(307) 864-9470

Organization SubpartNo

Authorized OfficialWade Travis BomengenOwner · (307) 864-5534

Enumeration DateMarch 7, 2006

Last NPPES UpdateJune 7, 2012

✔ NPI 1194792457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

120 N C AVE, Thermopolis, WY 82443

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Other Identifiers 4

Medicare ID-Type Unspecified308766WY · Medicare Part B

Medicaid116973400WY

Medicaid116973402WY

Other53D0996144WY · Clia

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

Other Providers at the Same Location NPPES 12

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

JOY LYNN MAGRUDER MD

Family Medicine