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

Brigham Young University

Organization Student in an Organized Health Care Education/Training Program · NPI 1215027099

Brigham Young University is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006

Practice location Address checks out

1130 Sfh Sports Med
Provo, UT 84602
Phone: (801) 377-6918
Fax: (801) 377-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (UT)

Record details

NPI number1215027099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael King — Associate Athletic Director/Control · (801) 422-2098
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1130 Sfh Sports Med, Provo, UT 84602

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