IndividualActive
Douglas Brockmeyer, MD
NPI 1942390521 · Neurological Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1942390521
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 178841-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Mario Capecchi Dr
#1475
Salt Lake City, UT 84113-1103
Phone: (801) 662-5349
Approximate (ZIP-level) locationGet directions
Mailing address
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2006-10-13
- 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.