DR. BRANDON BIRG PARK


Address: 389 S 900 E, Salt Lake Clinic, Salt Lake City, UT 84102-2310
Phone: 3852822000

DR. BRANDON BIRG PARK (NPI# 1063675171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063675171
Entity Type Individual
Full Name DR. BRANDON BIRG PARK
Credential M.D.
Practice Address 389 S 900 E
Salt Lake Clinic
Salt Lake City
UT 84102-2310
Practice Telephone 3852822000
Mailing Telephone 3852822000
Enumeration Date 2008-07-08
Last Update Date 2013-11-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
8212530-1205 UT Allopathic & Osteopathic Physicians

Other Providers BRANDON PARK

NPI Name Taxonomy Address Enumeration
1487921540 Brandon Hyungki Park Physical Therapist 511 Lincoln St Apt 7, Palisades Park, NJ 07650-2606 2011-11-17
1326504622 Brandon Juyoung Park Physical Therapist 112 Newport Towne Ctr, Newport, TN 37821-7360 2019-02-12
1801112891 Brandon S Park Clinical Neuropsychologist 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 2010-04-15
1811960123 Brandon D Park Nurse Practitioner 5782 Adams Avenue Parkway, Washington Terrace, UT 84405 2006-02-08

Office Location

Street Address 389 S 900 E
SALT LAKE CLINIC
City SALT LAKE CITY
State UT
Zip Code 84102-2310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205810751 Rachel Mitchell Internal Medicine 389 S 900 E, Salt Lake City, UT 84102-2310 2005-11-29
1992311799 Hannah Benoit Belles Physical Therapist 389 S 900 E, Salt Lake City, UT 84102-2310 2020-09-17
1447876263 Erin Ashley Romero Physical Therapist 389 S 900 E, Salt Lake City, UT 84102-2310 2020-06-17
1972159952 Paul Jacob Sharp Nurse Practitioner 389 S 900 E, Salt Lake City, UT 84102-2310 2019-08-14
1053886655 Jamie Plimpton Physician Assistant 389 S 900 E, Salt Lake City, UT 84102-2310 2018-10-10
1467817270 Mary K Jefferson Dietitian, Registered 389 S 900 E, Salt Lake City, UT 84102-2310 2015-12-21
1316321797 Laura Cushman Clinical Exercise Physiologist 389 S 900 E, Salt Lake City, UT 84102-2310 2015-07-15
1265816193 Jessica Laroche Dietitian, Registered 389 S 900 E, Salt Lake City, UT 84102-2310 2015-07-09
1033598446 Nira Liat Salant Physical Therapist 389 S 900 E, Salt Lake City, UT 84102-2310 2015-05-19
1730571126 Julie Lynn Roberts Nurse Practitioner 389 S 900 E, Salt Lake Clinic, Salt Lake City, UT 84102-2310 2015-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487296505 Us Sports Medicine, LLC Radiology 1178 E Brickyard Rd, Salt Lake City, UT 84106-2555 2019-10-09
1467865329 Shane Nicholas Weber Radiology 30 N 1900 E Rm 1a07, Salt Lake City, UT 84132-0002 2014-06-09
1508124843 Nikolas Michael Damme Radiology 30 N 1900 East #1a071, Apt B4, Salt Lake City, UT 84413-2140 2012-04-24
1093071045 Kaerli Main Christensen Radiology 30 North 1900 East, Room 4c104, University of Utah Department of Internal Medicine, Salt Lake City, UT 84132 2012-04-04
1952697849 Ashley D. Gettemy Radiology 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 2011-06-20
1598056848 Miriam Peckham Radiology 30 N 1900 E # 1c412, Gme Office, Salt Lake City, UT 84132-2115 2011-04-20
1285945006 David Cameron Olson Radiology 30 N 1900 E # 1a71, Salt Lake City, UT 84132-0002 2010-06-25
1619292182 Richard Keller Radiology 1235 East 200 South #702, 1235 East 200 South #702, Salt Lake City, UT 84102-8410 2010-03-29
1699914267 George Nicholas Baldwin Radiology 3519 E. Arcata R, Salt Lake City, UT 84124-4738 2009-02-05
1285896415 Joseph Scott Mcnally Radiology 447 Edith Ave, Salt Lake City, UT 84111-4724 2008-06-29
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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