BRAND PAXTON REYNOLDS
NPI 1548302268
Clinic/Center - Primary Care in Tooele, UT

Active since February 12, 2007
491 NORTH MAIN STREET, TOOELE, UT 84074(435) 843-8881(435) 843-8802 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brand Paxton Reynolds NPPES

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

BRAND PAXTON REYNOLDS (NPI 1548302268) is a healthcare organization registered as a primary care in Tooele, Utah and active in the NPI registry since February 2007. The organization lists Brand Paxton Reynolds, Owner, as its authorized official.

NPPES Registry Identity

NPI1548302268
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADVANCED PRACTICE MEDICAL CLINIC, LLC
Location Address491 NORTH MAIN STREETTooele, UT 84074-0922
Mailing Address491 N Main StTooele, UT 84074-1654 · (435) 843-8881 · Fax (435) 843-8802
Fax(435) 843-8802
Organization SubpartNo
Authorized OfficialBrand Paxton ReynoldsOwner · (435) 843-8881
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1548302268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in UT · 271062-4405
491 NORTH MAIN STREET, Tooele, UT 84074

Other Names 1

Doing Business AsBrand Paxton Reynolds

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)

Brand Paxton Reynolds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Brand Paxton Reynolds, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1154325991
491 N MAIN ST
Tooele, UT 84074
(435) 843-8881
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114609450
167 W PRINCETON DR
Midvale, UT 84047
(385) 219-1090
✔ PECOS22 mi
Nurse Practitioner
NPI 1659397545
1403 E SEGO LILY DR STE 100
Sandy, UT 84092
(801) 265-2212
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D1031532

Advanced Practice Medical Clinic · Tooele, UT
Expired · Oct 3, 2026
CLIA Number46D1031532
Laboratory TypePractitioner Other
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorBrand P. Reynolds
Laboratory Phone(435) 843-8881
Laboratory LocationAdvanced Practice Medical Clinic491 N Main St, Tooele, UT 84074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Practice Medical Clinic, LLC's NPI number?

The NPI number for Advanced Practice Medical Clinic, LLC is 1548302268. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Brand Paxton Reynolds.

Where is Advanced Practice Medical Clinic, LLC located?

Advanced Practice Medical Clinic, LLC is located at 491 North Main Street, Tooele, UT 84074. The listed phone number is (435) 843-8881.

What is Advanced Practice Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Advanced Practice Medical Clinic, LLC enrolled in Medicare?

Yes. Advanced Practice Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Practice Medical Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Advanced Practice Medical Clinic, LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Practice Medical Clinic, LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Advanced Practice Medical Clinic, LLC 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 Advanced Practice Medical Clinic, LLC was last updated on December 17, 2020. 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.