IndividualActive
Brendan Shevchik, PA-C
NPI 1205454428 · Physician Assistant · Park City, UT
Provider details
- NPI number
- 1205454428
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 00001 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone: (435) 655-6600
Fax: (435) 655-2388
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 909
Louisville, KY 40201-0909
Additional practice locations (2)
- 6340 S 3000 E Ste 200Cottonwood Heights, UT 84121-3552Phone: (435) 655-6600Fax: (435) 655-2388
- 380 E 1500 S Ste 103Heber City, UT 84032-3940Phone: (435) 655-6600Fax: (435) 655-2388
Registry dates
- Enumerated
- 2020-07-14
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.