Darrel S Brodke (NPI# 1407800311, PAC ID# 9537121587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1407800311 |
| PAC ID by PECOS | 9537121587 |
| Professional Enrollment ID | I20041101001215 |
| Full Name | Darrel S Brodke |
| Organization Legal Name | UNIVERSITY OF UTAH SURGICAL SERVICES |
| Address |
590 S Wakara Way Ortho Spine Surgeons Salt Lake City UT 84108-1200 |
| Phone Number | 8015877100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6002130481 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 | 8015877100 | UNIVERSITY OF UTAH SURGICAL SERVICES |
| Organization Legal Name | UNIVERSITY OF UTAH SURGICAL SERVICES |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason T Montgomery | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Claire Duffy | Physician Assistant | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| Dorian J Carroll | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Juneyoung L Chavez | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| Daniel W Fults Iii | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| Mark A Mahan | Neurosurgery | University of Utah Surgical Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Serge Makarenko | Neurosurgery | University of Utah Surgical Services | 175 N Medical Dr, University of Utah Department of Ne, Salt Lake City, UT 84132-0001 |
| William R Spiker | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Brandon D Lawrence | Orthopedic Surgery | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Erica F Bisson | Neurosurgery | University of Utah Surgical Services | 50 N Medical Dr, Salt Lake City, UT 84132-0100 |
| Street Address |
590 S WAKARA WAY ORTHO SPINE SURGEONS |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84108-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi R Laird | Physician Assistant | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Christopher E Pelt | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Robert James Owen | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Robert T Burks | Sports Medicine | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Andrew R Tyser | Hand Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Katelyn Marie Kubat Money | Physical Therapy | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Robert D Cervantez | Physical Therapy | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Jason T Montgomery | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Andrew Livermore | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Nathan B Haile | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca C Abbey | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Michelle L Palmer | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Crystal M Armstrong | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Matthew B Johnson | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Spencer Tingey | Sports Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Clinton R Sheffield | Pediatric Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Bruce E Thomas | Orthopedic Surgery | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| David L Rothberg | Pediatric Medicine | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Stephen K Aoki | Pediatric Medicine | University of Utah Adult Services | 590 S Wakara Way, Salt Lake City, UT 84108-1200 |
| Dorian J Carroll | Physician Assistant | University of Utah Surgical Services | 590 S Wakara Way, Ortho Spine Surgeons, Salt Lake City, UT 84108-1200 |
| Find all physicians in zip 84108 | |||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SALT LAKE CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Darrel S Brodke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.