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NORTHEASTERN UTAH MEDICAL GROUP
NPI 1982664199
Family Medicine in Roosevelt, UT

Active since March 23, 2006
210 W 300 N 7-3, ROOSEVELT, UT 84066(435) 722-3971(435) 722-6104 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2019, Apr 17, 2017 (2 updates tracked since 2017).

About Northeastern Utah Medical Group NPPES

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

NORTHEASTERN UTAH MEDICAL GROUP (NPI 1982664199) is a healthcare organization registered as a family medicine in Roosevelt, Utah and active in the NPI registry since March 2006. The organization maintains 8 additional practice locations and lists Brent H Hales, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982664199
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHEASTERN UTAH MEDICAL GROUP
Location Address210 W 300 N 7-3Roosevelt, UT 84066
Mailing Address210 W 300 NRoosevelt, UT 84066-2336 · (435) 722-3971 · Fax (435) 722-6104
Phone(435) 722-3971
Fax(435) 722-6104
Organization SubpartNo
Authorized OfficialBrent H HalesCfo · (435) 722-6164
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1982664199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ 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.

Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedSurgeryTaxonomy 208600000X
210 W 300 N 7-3, Roosevelt, UT 84066
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Secondary Practice Locations 8

Location 150 E 200 SDuchesne, UT 84021 · Phone (435) 738-2426 · Fax (435) 738-2845
Location 296 North 100 WestManila, UT 84046 · Phone (435) 784-3575 · Fax (435) 784-3505
Location 3405 N 500 WVernal, UT 84078-1907 · Phone (435) 789-4691 · Fax (435) 722-9291
Location 4175 N 200 W 102Vernal, UT 84078 · Phone (435) 789-4489
Location 5379 N 500 WVernal, UT 84078-1956 · Phone (435) 781-2030
Location 6475 N 500 WVernal, UT 84078-1907 · Phone (435) 781-2030
Location 738080 West SR 35Tabiona Clinic, UT 84072 · Phone (435) 848-5509 · Fax (435) 848-5507
Location 815548 W 4000 WAltamont, UT 84001 · Phone (435) 454-3173 · Fax (435) 454-3990

Other Identifiers 1

Medicaid840276435084UT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JOHN S BLAKE MD
Dermatology (MOHS-Micrographic Surgery)
210 W 300 N 7-3
ROOSEVELT, UT 84066
Duchesne County (435) 722-3971

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 Northeastern Utah Medical Group's NPI number?

The NPI number for Northeastern Utah Medical Group is 1982664199. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Northeastern Utah Medical Group located?

Northeastern Utah Medical Group is located at 210 W 300 N 7-3, Roosevelt, UT 84066. The listed phone number is (435) 722-3971.

What is Northeastern Utah Medical Group's specialty?

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

What insurance does Northeastern Utah Medical Group accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Northeastern Utah Medical Group 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 Northeastern Utah Medical Group was last updated on October 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.