Healthcare Provider Details
I. General information
NPI: 1649375270
Provider Name (Legal Business Name): MEDICAL ARTS CENTER CLINIC OF BRIGHAM CITY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2006
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1041 S MEDICAL DR STE 200
BRIGHAM CITY UT
84302-3293
US
IV. Provider business mailing address
1041 S MEDICAL DR STE 200
BRIGHAM CITY UT
84302-3293
US
V. Phone/Fax
- Phone: 435-723-5248
- Fax: 435-723-5240
- Phone: 435-723-5248
- Fax: 435-723-5240
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SCOTT
M
NAGAO
Title or Position: DOCTOR/PARTNER
Credential: DO
Phone: 435-723-5248