Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluerock Medical LLC

Organization Specialist · NPI 1629419452

Bluerock Medical LLC is a Specialist in Provo, Utah. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3152 N University Ave Ste 130
Provo, UT 84604-4745
Phone: (801) 437-4895
Fax: (801) 229-1003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1629419452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Hodges — Billing Manager · (801) 437-4895
NPI enumeratedJuly 9, 2013
Last updated in NPPESJuly 9, 2013
Mailing address3152 N University Ave, Suite 130, Provo, UT 84604-4745

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