Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHYSICIAN MANAGEMENT SERVICES OF UTAH, LLC
NPI 1629699749
Family Medicine in Highland, UT

Active since April 29, 2020
10290 N NORTH COUNTY BLVD STE 200, HIGHLAND, UT 84003(888) 829-8550 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, May 21, 2026 (2 updates tracked since 2026).

About Physician Management Services Of Utah, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF UTAH, LLC (NPI 1629699749) is a healthcare organization registered as a family medicine in Highland, Utah and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Salt Lake City and lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1629699749
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF UTAH, LLC
Location Address10290 N NORTH COUNTY BLVD STE 200Highland, UT 84003-6012
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateApril 29, 2020
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1629699749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10290 N NORTH COUNTY BLVD STE 200, Highland, UT 84003

Secondary Practice Location 1

Location 124 S 1100 E Ste 310Salt Lake City, UT 84102-4507 · Phone (888) 829-8550

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Family Medicine
10290 N NORTH COUNTY BLVD STE 200
HIGHLAND, UT 84003
Physician Assistant (Medical)
10290 N NORTH COUNTY BLVD STE 200
HIGHLAND, UT 84003

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 Physician Management Services Of Utah, LLC's NPI number?

The NPI number for Physician Management Services Of Utah, LLC is 1629699749. It was assigned to this organization in the NPPES registry on April 29, 2020.

Where is Physician Management Services Of Utah, LLC located?

Physician Management Services Of Utah, LLC is located at 10290 N North County Blvd Ste 200, Highland, UT 84003. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Utah, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Physician Management Services Of Utah, LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Physician Management Services Of Utah, 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 Physician Management Services Of Utah, LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.