IndividualActive
Darrel Brodke, MD
NPI 1407800311 · Orthopaedic Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1407800311
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 342621-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
590 Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-7109
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413067
Slc, UT 84141-3067
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2021-11-11
- Certified
- 2021-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.