MR. BRICE KENNETH UTLEY
NPI 1609686682
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Brice Utley's NPI number?

The NPI number for Brice Utley is 1609686682. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Q: What is Brice Utley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brice Utley was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 10, 2025PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Brice Kenneth Utley NPPES

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

MR. BRICE KENNETH UTLEY (NPI 1609686682) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609686682

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. BRICE KENNETH UTLEY

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2079 Ms Highway 415Ackerman, MS 39735-4437 · (662) 285-8674

Phone(601) 984-1000

Sole ProprietorNo

Enumeration DateJanuary 10, 2025

NPPES CertifiedJanuary 10, 2025

✔ NPI 1609686682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brice Kenneth Utley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)