ALAN L COLLEDGE (MD) – Family Medicine Physician, NPI 1629169370

Family Medicine Physician

ALAN L COLLEDGE (MD) is a healthcare provider. based in Salem, Utah. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 178606-1205 (UT). The NPI Number for ALAN L COLLEDGE (MD) is 1629169370

Main info

Male

41 Years Of Experience

Accepts Medicare Assignment

Name

ALAN L COLLEDGE (MD)

NPI

1629169370

Phone

(801) 373-7350

Address

555 W SR 164

Enumeration Date

27 September 2006

Last Update Date

27 November 2023

Doctor Profile

Medical School Name

MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE

Secondary Phone

8014298000

Graduation Year

1985 (41 years ago)

PAC ID

5597709626

Group Practice PAC ID

7517868508

Professional Enrollment ID

I20050620000177

Contacts

Secure Messaging

medreview@reverehealth.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience67

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for ALAN L COLLEDGE (MD)

555 W SR 164
Salem, UT 84653
Phone: (801) 373-7350
Fax: (801) 465-8898
Type: Location
700 W 800 N Ste 100
Orem, UT 840576302
Phone: (801) 373-7350
Fax: (801) 224-5337
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
CREDENTIALING DEPARTMENT
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84653)

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Provider's Procedures

ALAN L COLLEDGE (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	UT	64493	Injections of lower or sacral spine facet joint using imaging guidance	58	51

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7517868508View full group profile

Name	Specialty	State
WALSTIR H FONSECA (MD)	-	UT
ABRAHAM R TOMCO (M.D.)	-	UT
MR. STEPHEN JASON TOMLINSON (PT)	Physical Therapist In Private Practice	UT
EVAN SCOTT NIELSEN (MD)	Orthopedic Surgery	UT
ROBIN RAE HORTON (NP)	Nurse Practitioner	OR
EMILY ELIZABETH ROBBINS (APRN)	-	FL
MARK C SANDERSON (MD)	-	UT
ROSANNE JOHNSON OLIVER (FNP)	-	UT
MEAGAN RUTH DEMERS HARDY (NP)	Nurse Practitioner	UT
DR. JIM D CROWLEY (M.D.)	-	UT