CUSTOM MEDICAL SERVICES – NPI #1669452298
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Health Care Provider Taxonomy Code for Family Medicine

CUSTOM MEDICAL SERVICES is a provider located in ROOSEVELT, UT. NPPES has assigned the NPI number 1669452298 to CUSTOM MEDICAL SERVICES on January 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was last updated on Sep 11, 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 CUSTOM MEDICAL SERVICES below.

NPI Profile for
CUSTOM MEDICAL SERVICES

NPI Number
1669452298
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CUSTOM MEDICAL SERVICES
Primary location
RR 3 BOX 3053
ROOSEVELT, UT 84066-9609
Phone: (435) 722-7704 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVE PEHRSON
PRESIDENT
Phone: (435) 722-7704
Updated
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
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
207QG0300X
- Family Medicine / Geriatric Medicine
207QA0505X
- Family Medicine / Adult Medicine		 UT V09531
173000000X
- Legal Medicine		 UT V09531

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.