Dr Roger D Brockbank, MD | |
830 N 2000 W, Pleasant Grove, UT 84062-4047 | |
(801) 756-3511 | |
(801) 443-1164 |
Full Name | Dr Roger D Brockbank |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 830 N 2000 W, Pleasant Grove, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669463626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4778712-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
American Fork Hospital | American fork, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Family Medical | 7416197785 | 69 |
Entity Name | Premier Family Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger D Brockbank, MD 275 W 200 N, Lindon, UT 84042-5009 Ph: (801) 796-1333 | Dr Roger D Brockbank, MD 830 N 2000 W, Pleasant Grove, UT 84062-4047 Ph: (801) 756-3511 |
Dr. Jill Bergeson Barkdull, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-1705 Fax: 801-443-1164 | |
Marshall F Willis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705 | |
Dr. Sean Cameron Doyle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164 | |
Dr. Brannick Barton Riggs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 S 1300 W, Pleasant Grove, UT 84062 Phone: 385-440-1400 Fax: 801-845-9965 | |
Scott L Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164 | |
Elwood J Corry Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-443-1164 |