IndividualActive
Brandon Longenecker, DO
NPI 1407196801 · Obstetrics & Gynecology Physician · Heber City, UT
Provider details
- NPI number
- 1407196801
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101020315 (MI)
Practice location
380 E 1500 S Ste 202
Heber City, UT 84032-3942
Phone: (435) 657-4600
Fax: (435) 657-4615
Mailing address
380 E 1500 S Ste 202
Heber City, UT 84032-3942
Registry dates
- Enumerated
- 2013-02-21
- Last updated
- 2020-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.