Bluerock Medical LLC
Bluerock Medical LLC is a healthcare organization registered as Specialist in Provo, UT, holding Type 2 (organization) NPI 1629419452 since 2013. The authorized official on file is Martha Hodges, Billing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629419452 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bluerock Medical LLC |
| Practice address | 3152 N UNIVERSITY AVE, SUITE 130, Provo, UT, 84604 |
| Phone | 8014374895 |
| Fax | 8012291003 |
| Enumeration date | 2013-07-09 |
| Last updated in NPPES | 2013-07-09 |
Authorized official
| Name | Martha Hodges |
|---|---|
| Title | Billing Manager |
| Phone | 8014374895 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Copy-ready billing details
Provider: Bluerock Medical LLC NPI: 1629419452 Taxonomy: 174400000X (Specialist) Address: 3152 N UNIVERSITY AVE, SUITE 130, Provo, UT, 84604
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992802235 | Wendell Gibby | Individual | Diagnostic Radiology Physician | Provo, UT |
| 1194818278 | Riverwood Advanced Diagnostic Imaging | Organization | Specialist | Provo, UT |
| 1477646479 | Riverwoods Interventional Radiology Inc | Organization | Ambulatory Surgical Clinic/Center | Provo, UT |
| 1801962121 | Jason Rockwood | Individual | Foot & Ankle Surgery Podiatrist | Provo, UT |
| 1487836979 | Alpharad Inc | Organization | Radiologic Technologist | Provo, UT |
| 1811252760 | Auralcare Hearing Centers of America, LLC | Organization | Hearing and Speech Clinic/Center | Provo, UT |
| 1750624979 | Conrad Gibby | Individual | Vascular & Interventional Radiology Physician | Provo, UT |
| 1972298628 | Taylor G Wright PC | Organization | Podiatrist | Provo, UT |
Verify this record
Cross-check NPI 1629419452 against the authoritative CMS record: view Bluerock Medical LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Bluerock Medical LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-09.