Brandon B Park (NPI# 1063675171, PAC ID# 8325294085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063675171 |
| PAC ID by PECOS | 8325294085 |
| Professional Enrollment ID | I20120813000062 |
| Full Name | Brandon B Park |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
390 N Main St Bountiful UT 84010-6046 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 390 N Main St, Bountiful, UT 84010-6046 | IHC HEALTH SERVICES INC | |
| 12473 S Minuteman Dr, Draper, UT 84020-7870 | IHC HEALTH SERVICES INC | |
| 700 S Hwy 99, Suite 3, Fillmore, UT 84631-5137 | 4357435555 | IHC HEALTH SERVICES INC |
| 2075 N 1200, Layton, UT 84041-1611 | 8017796200 | IHC HEALTH SERVICES INC |
| 2075 N 1200, Fl 2, Layton, UT 84041-1611 | 8017764444 | IHC HEALTH SERVICES INC |
| 2075 University Park Blvd, Layton, UT 84041-1611 | IHC HEALTH SERVICES INC | |
| 181 E Medical Tower Dr, Murray, UT 84107-4872 | IHC HEALTH SERVICES INC | |
| 6272 S Highland Dr, Murray, UT 84121-2126 | IHC HEALTH SERVICES INC | |
| 975 E Chambers Ave, Ogden, UT 84403-4591 | 8013876200 | IHC HEALTH SERVICES INC |
| 1915 W 5950, Roy, UT 84067-1454 | 8013878100 | IHC HEALTH SERVICES INC |
| 389 S 900, Salt Lake City, UT 84102-2310 | IHC HEALTH SERVICES INC | |
| 9450 S 1300, Sandy, UT 84094-5555 | IHC HEALTH SERVICES INC | |
| 9450 S 1300, Fl 4, Sandy, UT 84094-5555 | 8015073500 | IHC HEALTH SERVICES INC |
| 975 Chambers St, South Ogden, UT 84403-4591 | 8013876200 | IHC HEALTH SERVICES INC |
| 2655 W 9000, West Jordan, UT 84088-8542 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
390 N MAIN ST |
| City | BOUNTIFUL |
| State | UT |
| Zip | 84010-6046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Craig Merrell | Family Medicine | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Daniel Woods Davis | Internal Medicine | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Hannele M Laine | Obstetrics/gynecology | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Grace Kim Harris | Family Medicine | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Nedda B Hendler | Internal Medicine | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Catherine E Burton | Family Medicine | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Ashley C Curtis | Family Medicine | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Cassey Marie Curry | Physician Assistant | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Adam L. Vanschelt | Physician Assistant | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Ernest F Baldwin Iii | Endocrinology | Ihc Health Services Inc | 390 N Main St, Bountiful, UT 84010-6046 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
| Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
| Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
| Find all physicians in zip 84010 | |||
| City | BOUNTIFUL |
| Zip Code | 84010 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BOUNTIFUL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brandon B Park.
| 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.