Healthcare Provider Details

I. General information

NPI: 1245709807
Provider Name (Legal Business Name): CONNECTED MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 S 1600 W STE A
MAPLETON UT
84664-4347
US

IV. Provider business mailing address

617 W 1475 N
OREM UT
84057-2505
US

V. Phone/Fax

Practice location:
  • Phone: 385-498-0102
  • Fax: 385-900-1668
Mailing address:
  • Phone: 801-319-6102
  • Fax: 385-900-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AUBRIE E.W. BROOKS
Title or Position: OWNER
Credential:
Phone: 385-498-0102