DAVID JOSHUA BROCKBANK (NPI# 1710222310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710222310 |
| Entity Type | Individual |
| Full Name | DAVID JOSHUA BROCKBANK |
| Credential | N.P.-C |
| Practice Address |
441 S Redwood Rd Salt Lake City UT 84104-3539 |
| Mailing Address |
Po Box 30180 Salt Lake City UT 84130-0180 |
| Practice Telephone | 8019732588 |
| Mailing Telephone | 8018601615 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2016-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7034673-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982086807 | David Brockbank | Dentist | 221 3rd St W, Randolph Afb, TX 78150 | 2015-06-27 |
| 1093822561 | David Thomas Brockbank | Ophthalmology | 6065 Fashion Blvd, Ste 125, Murray, UT 84107-7381 | 2006-08-23 |
| Street Address |
441 S REDWOOD RD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84104-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326031493 | James M Wortley | Physical Therapist | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2005-08-24 |
| 1265093785 | Casey Cranor | Nurse Practitioner | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2019-06-25 |
| 1710544937 | Bradley S Michalko | Physical Therapist | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2019-05-22 |
| 1326522418 | Amelia Llanos | Physical Therapist | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2018-09-24 |
| 1073995072 | Stephen D Bullock | Nurse Practitioner | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2015-06-25 |
| 1770997801 | Garry Wellisch | Nurse Practitioner | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2014-06-17 |
| 1750624219 | William F Morby | Physical Therapist | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2013-04-03 |
| 1083954275 | Spencer Kevin Hill | Physician Assistant | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2013-02-25 |
| 1912180993 | Rocky Mountain Therapy Services LLC | Physical Therapist | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2007-12-12 |
| 1861692105 | Michael Anderson Layton | Chiropractor | 441 S Redwood Rd, Salt Lake City, UT 84104-3539 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673013 | Neighborhood House | Clinic/Center | 423 South 1100 West, Salt Lake City, UT 84104 | 2016-07-15 |
| 1790157261 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 | 2015-10-23 |
| 1154561090 | Stephen Kent Jones | General Practice | 174 West Parrish Lane, Centerville, UT 84104 | 2009-03-05 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1639294721 | Ihc Health Services | Clinic/Center | 855 W 1300 S, Salt Lake City, UT 84104 | 2007-03-20 |
| 1700957552 | Neighborhood House | Custodial Care Facility | 423 So 1100 West, Salt Lake City, UT 84104 | 2006-11-13 |
| 1912014234 | Over The Road Dental | Dentist | 1953 W. California Ave, Salt Lake City, UT 84104 | 2006-08-23 |
| 1962492504 | Lifeskills Vocational Center | Day Training, Developmentally Disabled Services | 1656 W 1500 S, Salt Lake City, UT 84104 | 2005-10-25 |
| 1366439507 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1765 S 900 W Ste 88, Salt Lake City, UT 84104 | 2005-10-03 |
| 1588813521 | Concentra Health Services, Inc. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2008-09-15 |
| Find all providers in zip 84104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204590 | Gabrielle Sleater Lewis | Nurse Practitioner | 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 | 2020-11-01 |
| 1962019596 | Freya Kristen Landesman | Nurse Practitioner | 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 | 2020-09-28 |
| 1568075604 | Michelle L Davis | Nurse Practitioner | 24 S 1100 E Ste 305, Salt Lake City, UT 84102-4500 | 2020-08-28 |
| 1518583988 | Melanie Elise Harris | Nurse Practitioner | 1250 E 3900 S Ste 301, Salt Lake City, UT 84124-1350 | 2020-06-22 |
| 1295359651 | Julie Nielsen | Nurse Practitioner | 1170 E Westminster Ave Apt C, Salt Lake City, UT 84105-3514 | 2020-06-02 |
| 1770112138 | Justin Henderson | Nurse Practitioner | 3851 S Birch Dr, Salt Lake City, UT 84109-3742 | 2020-04-07 |
| 1346885845 | Anita Hui Lucente | Nurse Practitioner | 1111 E Brickyard Rd, Salt Lake City, UT 84106-2560 | 2019-11-08 |
| 1841844057 | Mayra Ibeth Vences | Nurse Practitioner | 1146 N Antilles Dr, Salt Lake City, UT 84116-4656 | 2019-07-25 |
| 1710549928 | Jenny Farley Mason | Nurse Practitioner | 4179 S Monarch Way, Salt Lake City, UT 84124-3168 | 2019-07-08 |
| 1144889940 | Amy Jackson Gilbert | Nurse Practitioner | 1950 Circle of Hope Dr Rm 4146, Salt Lake City, UT 84112-5500 | 2019-06-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84104 |
Please comment or provide details below to improve the information on DAVID JOSHUA BROCKBANK.
| 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.