BROCKBANK FOOT & ANKLE CLINIC PC (NPI# 1952893703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952893703 |
| Entity Type | Organization |
| Organization Name | BROCKBANK FOOT & ANKLE CLINIC PC |
| Practice Address |
9690 S 1300 E Ste 120 Sandy UT 84094-3798 |
| Practice Telephone | 8015014335 |
| Practice Fax Number | 8015014338 |
| Mailing Telephone | 8015014335 |
| Mailing Fax Number | 8015014338 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | DR. GREG BROCKBANK (PRESIDENT) |
| Authorized Official Telephone | 5098685865 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
356685-0501 | UT | Ambulatory Health Care Facilities |
| Street Address |
9690 S 1300 E STE 120 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-3798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386070464 | Robert W Geister and Associates Inc | Clinic/Center | 39400 Pioneer Blvd, Suite 4, Sandy, OR 97055-8000 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366618688 | Sugarhouse Foot Care Inc | Clinic/Center | 2435 Highland Dr, Salt Lake City, UT 84106-2709 | 2008-05-06 |
| 1487272365 | Cook Foot and Ankle Specialists LLC | Clinic/Center | 935 N 1000 W, Tremonton, UT 84337-9356 | 2020-07-08 |
| 1790243111 | Novacel | Clinic/Center | 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117-7168 | 2019-03-05 |
| 1083144406 | Family Foot & Ankle | Clinic/Center | 491 N Main St, Tooele, UT 84074-1654 | 2017-06-18 |
| 1922476282 | Summit Foot and Ankle Specialists | Clinic/Center | 3000 N Triumph Blvd, Suite 340, Lehi, UT 84043-4999 | 2015-09-03 |
| 1629445473 | Summit Foot and Ankle Specialists | Clinic/Center | 336 W 100 S, Spanish Fork, UT 84660-5881 | 2015-08-27 |
| 1366819112 | Summit Foot and Ankle Specialists | Clinic/Center | 1355 N University Ave, Suite 125, Provo, UT 84604-2721 | 2015-08-27 |
| 1467843698 | Ellsworth Foot and Ankle Clinics, LLC | Clinic/Center | 1377 E 3900 S, Suite 100, Salt Lake City, UT 84124-1476 | 2015-02-10 |
| 1710395140 | Arches Foot and Ankle Clinic Pllc | Clinic/Center | 179 N 1200 E Ste 103, Lehi, UT 84043-2255 | 2014-07-29 |
| 1922334317 | Craig J Campbell Dpm PC | Clinic/Center | 5255 S 4015 W, Suite 140, Salt Lake City, UT 84129-4258 | 2009-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROCKBANK FOOT & ANKLE CLINIC PC.
| 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.