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BLUE ROCK CANYON MED, LLC
NPI 1316877905
Internal Medicine in Salt Lake City, UT

Active since May 23, 2026
56 E BROADWAY STE 3303, SALT LAKE CITY, UT 84111(801) 796-2641 Get Directions Write a Review

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

About Blue Rock Canyon Med, Llc NPPES

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

BLUE ROCK CANYON MED, LLC (NPI 1316877905) is a healthcare organization registered as an internal medicine in Salt Lake City, Utah and active in the NPI registry since May 2026. The organization lists Adam Binneboese, Director, as its authorized official.

NPPES Registry Identity

NPI1316877905
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE ROCK CANYON MED, LLC
Location Address56 E BROADWAY STE 3303Salt Lake City, UT 84111-2232
Mailing Address56 E Broadway Ste 3303Salt Lake City, UT 84111-2232 · (801) 796-2641
Phone(801) 796-2641
Organization SubpartNo
Authorized OfficialAdam BinneboeseDirector · (385) 549-4525
Enumeration DateMay 23, 2026
NPPES CertifiedMay 23, 2026
✔ NPI 1316877905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
56 E BROADWAY STE 3303, Salt Lake City, UT 84111
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Blue Rock Canyon Med, LLC's NPI number?

The NPI number for Blue Rock Canyon Med, LLC is 1316877905. It was assigned to this organization in the NPPES registry on May 23, 2026.

Where is Blue Rock Canyon Med, LLC located?

Blue Rock Canyon Med, LLC is located at 56 E Broadway Ste 3303, Salt Lake City, UT 84111. The listed phone number is (801) 796-2641.

What is Blue Rock Canyon Med, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Blue Rock Canyon Med, LLC was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.