MAIN STREET FAMILY MEDICINE PLLC
NPI 1518636844
Family Medicine in Enterprise, UT
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Main Street Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Main Street Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Main Street Family Medicine PLLC enrolled in Medicare?
Yes. Main Street Family Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Street Family Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Main Street Family Medicine PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 5 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.
# Main Street Family Medicine Pllc · NPI 1518636844
Family Medicine organization in Enterprise, Utah. Organization record, active in the CMS NPPES registry since September 9, 2021.
## Identity
- **NPI:** 1518636844 (Entity type: Organization)
- **Enumerated:** September 9, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Colten Bracken, MD/OWNER
## Practice location
- **Address:** 571 EAST MAIN STREET, Enterprise, UT 84725
- **Phone:** (435) 878-5711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1518636844) · Data from the CMS NPPES public registry.