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

Dr. Justin W Mansfield, MD

Individual provider Internal Medicine Physician · NPI 1699707059

Dr. Justin W Mansfield, MD is an Internal Medicine in Ogden, Utah. Graduated from University of Utah School of Medicine in 1999, 27 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Nevada, Texas and Utah.

Years since qualifying
27
Trained at
University of Utah School of Medicine
Licensed in
NV, TX, UT
In the registry since
2006
Specialties on file
3
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

4403 Harrison Blvd Ste 3875
Ogden, UT 84403-3271
Phone: (801) 387-7950
Fax: (801) 387-7955
Show map & directions

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

Additional practice locations (1)

  • 1100 Ne Loop 410 Ste 706, San Antonio, TX 78209-1537 — (210) 874-4999

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 47817351205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence V5692 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20468 (NV)

Record details

NPI number1699707059
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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