TREVOR WILLIAM BRACKNEY
NPI 1518658384
Integrative Medicine in Provo, UT

NPI Status: Active since May 15, 2023

Contact Information

3650 N UNIVERSITY AVE STE 200
PROVO, UT
ZIP 84604
Phone: (801) 375-7100

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  • Individual
  • Male
  • Integrative Medicine
  • PECOS Enrolled
  • Opted-Out Medicare

About TREVOR BRACKNEY

This page provides the complete NPI Profile along with additional information for Trevor Brackney, a provider established in Provo, Utah with a medical specialization in Integrative Medicine. The healthcare provider is registered in the NPI registry with number 1518658384 assigned on May 2023. The practitioner's primary taxonomy code is 202D00000X with license number 8180148-8900 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1518658384
Provider Name
TREVOR WILLIAM BRACKNEY
Gender
Male
Entity Type
Individual
Location Address
3650 N UNIVERSITY AVE STE 200 PROVO, UT 84604
Location Phone
(801) 375-7100
Mailing Address
3650 N UNIVERSITY AVE STE 200 PROVO, UT 84604
Mailing Phone
(801) 375-7100
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
05-15-2023
Last Update Date
06-05-2025
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Trevor Brackney opted out of Medicare effective on 03-18-2024 until 03-18-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Integrative Medicine

Taxonomy Code
202D00000X
Type
Allopathic & Osteopathic Physicians
License No.
8180148-8900
License State
UT
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Trevor Brackney is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 03-18-2024

  • Opt-Out End Date: 03-18-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518658384, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 1 + 2 + 5 + 1 + 6 + 3 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1518658384.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
3650 N UNIVERSITY AVE STE 200
PROVO, UT 84604
Plastic Surgery
3650 N UNIVERSITY AVE STE 200
PROVO, UT 84604
Nurse Practitioner (Family)
3650 N UNIVERSITY AVE STE 200
PROVO, UT 84604
Nurse Practitioner (Family)
3650 N UNIVERSITY AVE STE 200
PROVO, UT 84604
Nurse Practitioner (Family)
3650 N UNIVERSITY AVE STE 200
PROVO, UT 84604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518658384, enumerated as an "individual" on May 15, 2023.

The provider is located at 3650 N UNIVERSITY AVE STE 200 PROVO, UT 84604 and the phone number is (801) 375-7100.

Integrative Medicine with taxonomy code 202D00000X.