Bonneville Family Practice – Primary Care Clinic/Center, NPI 1518256650

Bonneville Family Practice is a healthcare provider. based in Tooele, Utah. specializing in Primary Care Clinic/Center. The NPI Number for Bonneville Family Practice is 1518256650

Main info

Organization
Name
Bonneville Family Practice
NPI
1518256650
Phone
(435) 248-0333
Address
134 W 1180 N SUITE # 5
Authorized Official
DR. PATRICK NELSON GREEN OWNER MD
Enumeration Date
29 March 2011
Last Update Date
27 December 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:15State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Bonneville Family Practice

  • 134 W 1180 N SUITE # 5

    TOOELE, UT 84074

    Phone: (435) 248-0333

    Fax: (435) 248-0334

    Type: Mailing

  • 134 W 1180 N STE 5

    TOOELE, UT 840741483

    Phone: (435) 248-0333

    Fax: (435) 248-0334

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-10

PECOS data refreshed: 2026-05-27

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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 84074)

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Reviews

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Frequently asked questions

What is the registry number for Bonneville Family Practice?
The registry entry for Bonneville Family Practice shows NPI 1518256650.
Quick check: is Bonneville Family Practice active?
Public NPPES data shows Bonneville Family Practice with an active NPI status right now.
What services align with Bonneville Family Practice's listing?
Bonneville Family Practice's public classification highlights Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Can patients visit Bonneville Family Practice in Tooele, Utah?
For routing, start with Tooele, Utah for Bonneville Family Practice, then verify phone and hours locally.
Can I export Bonneville Family Practice's record?
You can download the official NPPES record; we summarize key fields for readability.

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