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SCOTT E SOUTHWORTH MD PC
NPI 1902977242
Internal Medicine in Bountiful, UT

Active since November 10, 2006
520 MEDICAL DR, SUITE 200, BOUNTIFUL, UT 84010(801) 294-9333 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scott E Southworth Md Pc NPPES

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

SCOTT E SOUTHWORTH MD PC (NPI 1902977242) is a healthcare organization registered as an internal medicine in Bountiful, Utah and active in the NPI registry since November 2006. The organization lists Scott E Southworth, President, as its authorized official.

NPPES Registry Identity

NPI1902977242
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSCOTT E SOUTHWORTH MD PC
Location Address520 MEDICAL DR, SUITE 200Bountiful, UT 84010-4968
Mailing Address140 N Union Ave Ste F-300Farmington, UT 84025-2953 · (801) 294-9333
Phone(801) 294-9333
Organization SubpartNo
Authorized OfficialScott E SouthworthPresident · (801) 294-9333
Enumeration DateNovember 10, 2006
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1902977242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 200632514
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
520 MEDICAL DR, Bountiful, UT 84010
Open in Google Maps ↗

Other Identifiers 1

Medicaid528924674003UT

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott E Southworth Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Scott E Southworth MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Scott Southworth, MD
Internal Medicine
NPI 1972602910
520 MEDICAL DR STE 300
Bountiful, UT 84010
(801) 292-1422
✔ PECOS✔ Accepts MedicareSame address
Valerie Tanner, A-GNP-C
Nurse Practitioner
NPI 1538617964
2578 W 600 N
Lindon, UT 84042
(801) 896-9868
✔ PECOS38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Scott E Southworth MD PC's NPI number?

The NPI number for Scott E Southworth MD PC is 1902977242. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Scott E Southworth MD PC located?

Scott E Southworth MD PC is located at 520 Medical Dr Suite 200, Bountiful, UT 84010. The listed phone number is (801) 294-9333.

What is Scott E Southworth MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Scott E Southworth MD PC enrolled in Medicare?

Yes. Scott E Southworth MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott E Southworth MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Scott E Southworth MD PC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scott E Southworth MD PC was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.