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

Colten Dirk Bracken, MD

Individual provider Family Medicine Physician · NPI 1073993283

Colten Dirk Bracken, MD is a Family Practice in Enterprise, Utah. Graduated from Mayo Medical School in 2015, 11 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Trained at
Mayo Medical School
Licensed in
UT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

571 E Main St
Enterprise, UT 84725
Phone: (435) 878-5711
Fax: (435) 878-5712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9832788-1205 (UT)

Record details

NPI number1073993283
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2015
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address1055 N 500 W, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Enterprise