MAIN STREET FAMILY MEDICINE PLLC
NPI 1518636844
Family Medicine in Enterprise, UT

Active since September 09, 2021
571 EAST MAIN STREET, ENTERPRISE, UT 84725(435) 878-5711 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Street Family Medicine Pllc NPPES

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

MAIN STREET FAMILY MEDICINE PLLC (NPI 1518636844) is a healthcare organization registered as a family medicine in Enterprise, Utah and active in the NPI registry since September 2021. The organization lists Colten Dirk Bracken, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1518636844
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET FAMILY MEDICINE PLLC
Location Address571 EAST MAIN STREETEnterprise, UT 84725
Mailing Address571 East Main StreetEnterprise, UT 84725 · (435) 878-5711
Organization SubpartNo
Authorized OfficialColten Dirk BrackenMd/owner · (435) 878-5711
Enumeration DateSeptember 9, 2021
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
NPI 1518636844 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.
571 EAST MAIN STREET, Enterprise, UT 84725

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Family Medicine
571 EAST MAIN STREET
ENTERPRISE, UT 84725

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 Main Street Family Medicine PLLC's NPI number?

The NPI number for Main Street Family Medicine PLLC is 1518636844. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is Main Street Family Medicine PLLC located?

Main Street Family Medicine PLLC is located at 571 East Main Street, Enterprise, UT 84725. The listed phone number is (435) 878-5711.

What is Main Street Family Medicine PLLC's specialty?

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

What insurance does Main Street Family Medicine PLLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Main Street Family Medicine PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Main Street Family Medicine PLLC was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.