BLUEROCK MEDICAL LLC
NPI 1629419452
Specialist in Provo, UT

Active since July 09, 2013
3152 N UNIVERSITY AVE, SUITE 130, PROVO, UT 84604(801) 437-4895(801) 229-1003 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bluerock Medical Llc NPPES

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

BLUEROCK MEDICAL LLC (NPI 1629419452) is a healthcare organization registered as a specialist in Provo, Utah and active in the NPI registry since July 2013. The organization lists Martha Hodges, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1629419452
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLUEROCK MEDICAL LLC
Location Address3152 N UNIVERSITY AVE, SUITE 130Provo, UT 84604-4745
Mailing Address3152 N University Ave, Suite 130Provo, UT 84604-4745 · (801) 437-4895 · Fax (801) 229-1003
Fax(801) 229-1003
Organization SubpartNo
Authorized OfficialMartha HodgesBilling Manager · (801) 437-4895
Enumeration DateJuly 9, 2013
NPI 1629419452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3152 N UNIVERSITY AVE, Provo, UT 84604

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Specialist
3152 N UNIVERSITY AVE, SUITE 100
PROVO, UT 84604
Clinic/Center (Ambulatory Surgical)
3152 N UNIVERSITY AVE, SUITE 150
PROVO, UT 84604
Radiologic Technologist
3152 N UNIVERSITY AVE
PROVO, UT 84604
Radiology (Vascular & Interventional Radiology)
3152 N UNIVERSITY AVE
PROVO, UT 84604
Podiatrist (Foot & Ankle Surgery)
3152 N UNIVERSITY AVE
PROVO, UT 84604
Clinic/Center (Hearing and Speech)
3152 N UNIVERSITY AVE, SUITE 130
PROVO, UT 84604
Podiatrist
3152 N UNIVERSITY AVE, SUITE 240
PROVO, UT 84604
Radiology (Diagnostic Radiology)
3152 N UNIVERSITY AVE, SUITE 100
PROVO, UT 84604

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 Bluerock Medical LLC's NPI number?

The NPI number for Bluerock Medical LLC is 1629419452. It was assigned to this organization in the NPPES registry on July 9, 2013.

Where is Bluerock Medical LLC located?

Bluerock Medical LLC is located at 3152 N University Ave Suite 130, Provo, UT 84604. The listed phone number is (801) 437-4895.

What is Bluerock Medical LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bluerock Medical LLC was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.