IMPACT MEDICAL LLC - NPI 1487529764 - Preventive Medicine in Heber City, UT

Q: What is Impact Medical LLC's NPI number?

The NPI number for Impact Medical LLC is 1487529764. It was assigned to this organization in the NPPES registry on October 7, 2025.

Q: What is Impact Medical LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

On this page

About Impact Medical Llc NPPES

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

IMPACT MEDICAL LLC (NPI 1487529764) is a healthcare organization registered as a public health & general preventive medicine in Heber City, Utah and active in the NPI registry since October 2025. The organization lists Benjamin Fogg, Physician, as its authorized official.

NPPES Registry Identity

NPI1487529764

Entity TypeOrganization

Primary Taxonomy2083P0901X

Legal Business NameIMPACT MEDICAL LLC

Location Address1776 N HIGHWAY 40, STE 101Heber City, UT 84032

Mailing Address1776 N Highway 40, Ste 101Heber City, UT 84032 · (435) 294-2664 · Fax (801) 274-0049

Phone(435) 294-2664

Fax(801) 274-0049

Organization SubpartNo

Authorized OfficialBenjamin FoggPhysician · (801) 712-2535

Enumeration DateOctober 7, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1487529764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Also ListedFamily MedicineTaxonomy 207Q00000X

1776 N HIGHWAY 40, STE 101, Heber City, UT 84032

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

BENJAMIN REED FOGG MD

Family Medicine

1776 N HIGHWAY 40, STE 101
HEBER CITY, UT 84032

Wasatch County (435) 294-2664

WASATCH MEDICINE LLC

Clinic/Center (Primary Care)

1776 N HIGHWAY 40, STE 101
HEBER CITY, UT 84032

Wasatch County (435) 294-2664

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 Impact Medical LLC's NPI number?

The NPI number for Impact Medical LLC is 1487529764. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Impact Medical LLC located?

Impact Medical LLC is located at 1776 N Highway 40, Ste 101, Heber City, UT 84032. The listed phone number is (435) 294-2664.

What is Impact Medical LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Impact Medical LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.