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Custom Medical Services

Adolescent Medicine (Family Medicine) Physician in Roosevelt, UT · enumerated 2006 · authorized official Steve Pehrson, President.

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

National Provider Identifier

1669452298

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Registry record

Entity type Organization (Type 2)
Legal business name Custom Medical Services
Practice address Rr 3 Box 3053, Roosevelt, UT, 84066
Enumeration date Jan 19, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

173000000X Legal Medicine Other Service Providers · License V09531 (UT) Secondary
207QA0000X Adolescent Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians · License V09531 (UT) Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Steve Pehrson
Title President

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 Custom Medical Services?
Custom Medical Services is registered in NPPES as a Adolescent Medicine (Family Medicine) Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.