BLUE CREEK MEDICAL
NPI 1285279091
Psychiatry & Neurology - Clinical Neurophysiology in Tremonton, UT

Q: What is Blue Creek Medical's NPI number?

The NPI number for Blue Creek Medical is 1285279091. It was assigned to this organization in the NPPES registry on November 15, 2019.

Q: What is Blue Creek Medical's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Active since November 15, 2019

9825 N 10800 W, TREMONTON, UT 84337(888) 851-3677(888) 851-3671 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2025, Nov 15, 2019 (2 updates tracked since 2019).

On this page

About Blue Creek Medical NPPES

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

BLUE CREEK MEDICAL (NPI 1285279091) is a healthcare organization registered as a clinical neurophysiology in Tremonton, Utah and active in the NPI registry since November 2019. The organization lists Teresa Carter, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1285279091

Entity TypeOrganization

Primary Taxonomy2084N0600X

Legal Business NameBLUE CREEK MEDICAL

Location Address9825 N 10800 WTremonton, UT 84337-9222

Mailing Address9825 N 10800 WTremonton, UT 84337-9222 · (907) 341-9751 · Fax (866) 311-6889

Phone(888) 851-3677

Fax(888) 851-3671

Organization SubpartNo

Authorized OfficialTeresa CarterDirector Of Billing · (907) 341-9751

Enumeration DateNovember 15, 2019

Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1285279091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0600X

Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

9825 N 10800 W, Tremonton, UT 84337

Open in Google Maps ↗

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.

NICHOLAS TRENT WYNN

Specialist/Technologist, Other (Electroneurodiagnostic)