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BLUE ROCK NEUROLOGICAL LLC
NPI 1730554734
Psychiatry & Neurology - Neurology in Provo, UT

Active since December 02, 2015
3152 N UNIVERSITY AVE STE 220, PROVO, UT 84604(801) 229-1014(801) 229-1067 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Rock Neurological Llc NPPES

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

BLUE ROCK NEUROLOGICAL LLC (NPI 1730554734) is a healthcare organization registered as a neurology in Provo, Utah and active in the NPI registry since December 2015. The organization lists Wendell Gibby, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1730554734
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameBLUE ROCK NEUROLOGICAL LLC
Location Address3152 N UNIVERSITY AVE STE 220Provo, UT 84604-4746
Mailing Address3152 N University Ave Ste 220Provo, UT 84604-4746 · (801) 229-1014 · Fax (801) 229-1067
Phone(801) 229-1014
Fax(801) 229-1067
Organization SubpartNo
Authorized OfficialWendell GibbyManager/owner · (801) 229-1014
Enumeration DateDecember 2, 2015
✔ NPI 1730554734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3152 N UNIVERSITY AVE STE 220, Provo, UT 84604
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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 2

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

DR. VICTORIA LOASA SUCHER ND
Naturopath
3152 N UNIVERSITY AVE STE 220
PROVO, UT 84604
Utah County (801) 229-1014
PAMELA L. VINCENT MD PC
Family Medicine (Addiction Medicine)
3152 N UNIVERSITY AVE STE 220
PROVO, UT 84604
Utah County (801) 229-1014

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 Blue Rock Neurological LLC's NPI number?

The NPI number for Blue Rock Neurological LLC is 1730554734. It was assigned to this organization in the NPPES registry on December 2, 2015.

Where is Blue Rock Neurological LLC located?

Blue Rock Neurological LLC is located at 3152 N University Ave Ste 220, Provo, UT 84604. The listed phone number is (801) 229-1014.

What is Blue Rock Neurological LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Blue Rock Neurological LLC was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.