Gregory R Brockbank (NPI# 1710062849, PAC ID# 3476586165) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1710062849 |
| PAC ID by PECOS | 3476586165 |
| Professional Enrollment ID | I20180831002440 |
| Full Name | Gregory R Brockbank |
| Address |
96 E Kimballs Ln Suite 407 Draper UT 84020-5021 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460044 | ALTA VIEW HOSPITAL |
| 460052 | TIMPANOGOS REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 96 E Kimballs Ln, Suite 407, Draper, UT 84020-5021 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 82% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 84% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 82% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
96 E KIMBALLS LN SUITE 407 |
| City | DRAPER |
| State | UT |
| Zip | 84020-5021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc T Nuttall | Hematology/oncology | Central Utah Clinic P C | 96 E Kimballs Ln, Suite 305, Draper, UT 84020-5021 |
| Michael T Giovanniello | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Connor H Anderl | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Jed T Widdison | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Jeffrey William Groves | Neurology | Central Utah Clinic P C | 96 E Kimballs Ln, Suite 307, Draper, UT 84020-5021 |
| Angela M Krull | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Ted J Morris | Certified Registered Nurse Anesthetist (crna) | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Scott Adelman | Physical Medicine and Rehabilitation | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Snigdha Ancha | Pain Management | Evergreen Medical Inc | 96 E Kimballs Ln, Suite 408, Draper, UT 84020-5020 |
| Todd W Johnson | Anesthesiology | Mountain View Anesthesia Lc | 96 E Kimballs Ln, Suite 100, Draper, UT 84020-5002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Matthew Broadwater-hollifield | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Azher M Merchant | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeffrey L Hardin | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Laurie C Raborn | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jinghui Li | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Charles David Eller | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeremy Voros | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jennifer F Robison | Psychologist, Clinical | 12481 S Fort St, Suite 275, Draper, UT 84020-2106 | |
| Matthew D Smith | Chiropractic | Elite Performance Health Center PC | 13552 S 110 W, Suite 204, Draper, UT 84020-2403 |
| Find all physicians in zip 84020 | |||
| City | DRAPER |
| Zip Code | 84020 |
| Specialty | PODIATRY |
| City + Specialty | DRAPER + PODIATRY |
Please comment or provide details below to improve the information on Gregory R Brockbank.
| 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.