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Active NPI 1336830108 Individual Practitioner Male Practitioner

Brecken Dewey Moore , FNP

Nurse Practitioner • Sandy, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Brecken Moore, FNP is a certified Nurse Practitioner practicing in Sandy, UT. With approximately 3 years of clinical experience since completing medical education in 2023, Brecken Moore delivers high-quality medical care to the local community at 7410 S CREEK RD STE 100.

Brecken Moore is affiliated with Alberto Souza Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

7410 S Creek Rd Ste 100

Sandy, UT 840936151

Telephone 8018161010
Associated Practice Facility / Clinic
🏢 Healthy Mind Set Intl Inc Facility NPI 1295351278

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sandy, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -4.1 yrs vs City Avg
City Avg: 7.1 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Sandy, UT (1143 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (3 Years) 3 Yrs
Sandy Specialty Average (7.1 Years) 7.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-07-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 120502688900

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Alberto Souza Pllc

1664 S Dixie Dr, St George, UT 847707329

Phone: 4357039647

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1033850532

Physician Assistant (Certified)

Dr. Amnon Schlegel , MD, PhD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1093910796

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Timothy Graham , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1134162258

Doctor of Medicine (M.D.)

Faisa Smith , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1295625960

NURSEPRACTITIONER

Hosanna Clay , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1306344973

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Leslie Iverson , PA

Physician Assistant

NPI 1417967035

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2023

Nurse Practitioner (License #120502688900 in UT)

NPI Profile Active May 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2023

Registered at 7410 S CREEK RD STE 100, SANDY, UT 840936151 (Tel: 8018161010)

📍
Updated Business Mailing Address May 15, 2023

Registered at 1004 W TUSCANY VIEW RD UNIT 1705, MIDVALE, UT 840474826 (Tel: 4355902312)

👤
Provider Name / Credentials Updated May 15, 2023

Recorded as BRECKEN MOORE, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Registered Nurse (License #120502683102 in UT)

🟢
Initial NPI Registration & Enumeration May 15, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336830108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2023
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

1004 W Tuscany View Rd Unit 1705

Midvale, UT 840474826

Phone: 4355902312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.