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BROGAN R SECRIST
NPI 1255083309
Student in an Organized Health Care Education/Training Program in Ivins, UT

Active since January 20, 2022
738 S RED MOUNTAIN BLVD, IVINS, UT 84738(435) 705-1644 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brogan R Secrist NPPES

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

BROGAN R SECRIST (NPI 1255083309) is an individual student in an organized health care education/training program in Ivins, Utah and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1255083309
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBROGAN R SECRIST
Location Address738 S RED MOUNTAIN BLVDIvins, UT 84738-1226
Mailing Address738 S Red Mountain BlvdIvins, UT 84738-1226 · (435) 705-1644
Phone(435) 705-1644
Sole ProprietorYes
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1255083309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
738 S RED MOUNTAIN BLVD, Ivins, UT 84738
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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 Brogan Secrist's NPI number?

The NPI number for Brogan Secrist is 1255083309. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Brogan Secrist located?

Brogan Secrist practices at 738 S Red Mountain Blvd, Ivins, UT 84738. The listed phone number is (435) 705-1644.

What is Brogan Secrist's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brogan Secrist was last updated on January 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.