BRENT FARR ROBERTSON


Address: 1321 E South Temple, 5, Salt Lake City, UT 84102-1830
Phone: 8016435809

BRENT FARR ROBERTSON (NPI# 1437422995) 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) 1437422995
Entity Type Individual
Full Name BRENT FARR ROBERTSON
Credential M.D.
Practice Address 1321 E South Temple
5
Salt Lake City
UT 84102-1830
Practice Telephone 8016435809
Mailing Telephone 8016435809
Enumeration Date 2012-02-14
Last Update Date 2012-02-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 168260-1205 UT Other Service Providers

Other Providers BRENT ROBERTSON

NPI Name Taxonomy Address Enumeration
1699194647 Brent Robertson Physical Therapist 900 Woodland Hwy, Belle Chasse, LA 70037-1633 2014-04-07
1780112276 Brent Justin Robertson Student in an Organized Health Care Education/Training Program 375 Dixmyth Ave, Cincinnati, OH 45220-2475 2017-05-26

Office Location

Street Address 1321 E SOUTH TEMPLE
5
City SALT LAKE CITY
State UT
Zip Code 84102-1830

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NPI Name Taxonomy Address Enumeration
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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 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437533932 Krystal Ahlstrom Specialist 544 E Wilmington Ave, Salt Lake City, UT 84106-1419 2015-07-14
1528460607 John Miller Holman Jr. Specialist 4765 S Ichabod St, Salt Lake City, UT 84117-6461 2014-09-21
1750795423 Judy Denise Wall Specialist 4425 S Camille St, Salt Lake City, UT 84124-3624 2014-06-20
1821434424 Robert Bradley Wray Specialist 2665 E. Parleys Way, #204, Salt Lake City, UT 84109-1672 2013-05-22
1295170850 Rodolphe Ruffy Specialist 4228 S Park Terrace Dr, Salt Lake City, UT 84124-3417 2013-05-08
1063857159 Afshin Ahmadiyan Specialist 2431 E Catalina Dr, Salt Lake City, UT 84121-3939 2013-05-03
1508112426 Floyd Jackson Millet Specialist 2015 Scenic Dr, Salt Lake City, UT 84108-3317 2012-07-29
1386904043 David Earl Moore Specialist 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 2012-05-29
1861787756 William Halls Specialist 171 3rd Ave, # 310, Salt Lake City, UT 84103-5006 2011-06-18
1912201203 Sidney Paul Starley Specialist 2593 Cupecoy Dr, Salt Lake City, UT 84121-3244 2010-12-31
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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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