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Search › Utah › 202D00000X

Trevor Brackney

NPI 1518658384 · on the registry since 2023

Practice

Address
3650 N University Ave Ste 200
Provo, UT 84604
Phone
(801) 375-7100
Organisation at this address
Sporterdo Llc
Coastal Community Center Inc
Charles V. Pledger M.D., P.C.
Integrative Medical Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
202D00000X
202D00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah