Healthcare Provider Details

I. General information

NPI: 1588577910
Provider Name (Legal Business Name): DREAMCATCHER HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 W PINE AVE
MERIDIAN ID
83642-5031
US

IV. Provider business mailing address

3401 N THANKSGIVING WAY STE 190
LEHI UT
84048-4157
US

V. Phone/Fax

Practice location:
  • Phone: 385-454-5027
  • Fax: 801-742-8381
Mailing address:
  • Phone: 385-454-5027
  • Fax: 801-742-8381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN NEWBERRY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 385-454-5027