Custom Medical Services
Custom Medical Services holds NPI 1669452298, with a primary taxonomy of adolescent medicine (family medicine) physician and a practice location in Roosevelt, UT. The number was issued on January 19, 2006 and the NPPES record was last updated on September 11, 2025. The record lists 4 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | Not listed |
| Legal Medicine | 173000000X | V09531 (UT) |
| Adult Medicine Physician | 207QA0505X | V09531 (UT) |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Not listed |
Practice location
Local context
Active NPPES records list 1 provider with adolescent medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 3 in Utah and 272 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
Building software? Fetch this NPI programmatically with the NPILayer Provider API.
curl -H "Authorization: Bearer YOUR_API_KEY" \ "https://api.npilayer.com/v1/providers/1669452298"