CUSTOM MEDICAL SERVICES
NPI 1669452298
Family Medicine - Adolescent Medicine in Roosevelt, UT

Q: What is Custom Medical Services's NPI number?

The NPI number for Custom Medical Services is 1669452298. It was assigned to this organization in the NPPES registry on January 19, 2006.

Q: What is Custom Medical Services's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Active since January 19, 2006

RR 3 BOX 3053, ROOSEVELT, UT 84066(435) 722-7704 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Custom Medical Services NPPES

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

CUSTOM MEDICAL SERVICES (NPI 1669452298) is a healthcare organization registered as an adolescent medicine in Roosevelt, Utah and active in the NPI registry since January 2006. The organization lists Steve Edwin Pehrson, President, as its authorized official.

NPPES Registry Identity

NPI1669452298

Entity TypeOrganization

Primary Taxonomy207QA0000X

Legal Business NameCUSTOM MEDICAL SERVICES

Location AddressRR 3 BOX 3053Roosevelt, UT 84066-9609

Mailing AddressRr 3 Box 3053Roosevelt, UT 84066-9609 · (435) 722-7704

Phone(435) 722-7704

Organization SubpartNo

Authorized OfficialSteve Edwin PehrsonPresident · (435) 722-7704

Enumeration DateJanuary 19, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1669452298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Also ListedLegal MedicineTaxonomy 173000000X · License V09531 (UT)

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License V09531 (UT)

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X

RR 3 BOX 3053, Roosevelt, UT 84066

Open in Google Maps ↗

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

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 Custom Medical Services's NPI number?

The NPI number for Custom Medical Services is 1669452298. It was assigned to this organization in the NPPES registry on January 19, 2006.

Where is Custom Medical Services located?

Custom Medical Services is located at Rr 3 Box 3053, Roosevelt, UT 84066. The listed phone number is (435) 722-7704.

What is Custom Medical Services's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for Custom Medical Services was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.