BRIGHAM MEDICAL CLINIC, INC.
NPI 1922119528
Family Medicine in Brigham City, UT
About Brigham Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIGHAM MEDICAL CLINIC, INC. (NPI 1922119528) is a healthcare organization registered as a family medicine in Brigham City, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Annette Dickamore, Assistant Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brigham Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Brigham Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D0524732
Brigham Medical Clinic · Brigham City, UTFrequently 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 Brigham Medical Clinic, Inc.'s NPI number?
The NPI number for Brigham Medical Clinic, Inc. is 1922119528. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Brigham Medical Clinic, Inc. located?
Brigham Medical Clinic, Inc. is located at 600 W Hospital Rd, Brigham City, UT 84302. The listed phone number is (435) 734-2041.
What is Brigham Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brigham Medical Clinic, Inc. enrolled in Medicare?
Yes. Brigham Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brigham Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Brigham Medical Clinic, Inc.. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brigham Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0524732) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brigham Medical Clinic, Inc. accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Brigham Medical Clinic, Inc. 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 Brigham Medical Clinic, Inc. was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Brigham Medical Clinic, Inc. · NPI 1922119528
Family Medicine organization in Brigham City, Utah. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1922119528 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Annette Dickamore, ASSISTANT OFFICE MANAGER
## Practice location
- **Address:** 600 W HOSPITAL RD, Brigham City, UT 84302-3006
- **Phone:** (435) 734-2041 · **Fax:** (435) 723-8028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2009
- **Other identifiers:** Medicare NSC 1021610001 (UT); Medicaid =========011 (UT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922119528) · Data from the CMS NPPES public registry.