TREVOR WILLIAM BRACKNEY - NPI 1518658384 - Integrative Medicine in Provo, UT

Q: What is Trevor Brackney's NPI number?

The NPI number for Trevor Brackney is 1518658384. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Trevor Brackney's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Q: Is Trevor Brackney enrolled in Medicare?

No. Trevor Brackney has opted out of Medicare through March 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Trevor Brackney was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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About Trevor William Brackney NPPES

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

TREVOR WILLIAM BRACKNEY (NPI 1518658384) is an individual integrative medicine provider in Provo, Utah, licensed in Utah (8180148-8900) and active in the NPI registry since May 2023. He has opted out of Medicare through March 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518658384

Entity TypeIndividualMale

Primary Taxonomy202D00000X

Provider Legal NameTREVOR WILLIAM BRACKNEY

Location Address3650 N UNIVERSITY AVE STE 200Provo, UT 84604-6658

Mailing Address3650 N University Ave Ste 200Provo, UT 84604-6658 · (801) 375-7100 · Fax (801) 375-7102

Phone(801) 375-7100

Sole ProprietorNo

Enumeration DateMay 15, 2023

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1518658384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code202D00000X

License✔ Licensed in UT · 8180148-8900

Definition

A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

3650 N UNIVERSITY AVE STE 200, Provo, UT 84604

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Trevor William Brackney has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 18, 2024 through March 18, 2028.

Opt-Out Effective DateMarch 18, 2024

Opt-Out In Effect ThroughMarch 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

CORY FOWLER MSN, A.P.R.N., FNP-C

Nurse Practitioner (Family)