BEN FOGG MD – NPI #1104320902
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BEN FOGG is a physician located in HEBER CITY, UT. NPPES has assigned the NPI number 1104320902 to BEN FOGG on March 19, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name BENJAMIN FOGG. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Oct 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEN FOGG below.

NPI Profile for
BENJAMIN R. FOGG

NPI Number
1104320902
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BENJAMIN R. FOGG
Professional Name: BEN FOGG
Credentials
MD
Primary location
1776 N HIGHWAY 40, STE 101
HEBER CITY, UT 84032
Phone: (435) 294-2664 Fax: (801) 274-0049
Mailing address
1776 N HWY 40, STE 101
HEBER CITY, UT 84032
Phone: (435) 294-2664 Fax: (801) 274-0049
Sole Proprietor
Yes
Updated
Certification Date
Oct 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
UT 11336500-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BEN FOGG is affiliated with the following medical group(s):
  • HOSPITAL
    • HEBER VALLEY HOSPITAL
      454 EAST MEDICAL WAY
      HEBER CITY, UT 84032
    • PARK CITY HOSPITAL
      900 ROUND VALLEY DRIVE
      PARK CITY, UT 84060

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.