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Bridge Utah Medical Group

Physical Medicine & Rehabilitation Physician in Logan, UT · enumerated 2018 · authorized official Cameron Peterson, Chief Medical Officer, Managing Par.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104324904

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Registry record

Entity type Organization (Type 2)
Legal business name Bridge Utah Medical Group
Practice address 1015 E 100 N, Logan, UT, 84321
Phone (888) 221-0423
Fax (888) 221-9816
Enumeration date Jan 26, 2018
Last updated in NPPES Mar 14, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Cameron Peterson
Title Chief Medical Officer, Managing Par
Phone (801) 598-8337

Other identifiers

Identifier Type State Issuer
0000 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Bridge Utah Medical Group?
Bridge Utah Medical Group is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-14.