Brenda K Blackham, MD in Murray, UT

Brenda K Blackham, MD is a Anesthesiology physician based in Murray, Utah. Brenda K Blackham is licensed to practice in Utah (license number 90183338-1205) and her current practice location is 5770 Fashion Blvd, Murray, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 993-9582.

NPI number for Brenda K Blackham is 1174635494 and her current mailing address is 2975 Executive Pkwy, 200, Lehi, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174635494.

Contact Information

	Brenda K Blackham, MD
	5770 Fashion Blvd, Murray, UT 84107-6548
	(801) 993-9582
	(801) 733-5618

Map and Direction

Physician's Profile

Full Name	Brenda K Blackham
Gender	Female
Speciality	Anesthesiology
Location	5770 Fashion Blvd, Murray, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1174635494
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Brenda K Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174635494	NPI	-	NPPES
1189492500	Medicaid	WY
6761	Other	UT	HEALTHY U
870545614BL3	Other	UT	EDUCATORS MUTUAL
1502954	Other	UT	UMWA
73606	Other	UT	PEHP
107005709102	Other	UT	IHC
824723	Medicaid	AZ
QM0000075886	Other	UT	ALTIUS
2090168	Other	UT	UNITED HEALTHCARE
PRA06458	Other	UT	MOLINA
305404	Other	UT	DESERET MUTUAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	90183338-1205 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda K Blackham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brenda K Blackham, MD 2975 Executive Pkwy, 200, Lehi, UT 84043-9642 Ph: (801) 990-1911	Brenda K Blackham, MD 5770 Fashion Blvd, Murray, UT 84107-6548 Ph: (801) 993-9582

Reviews and Comments

Anesthesiology Doctors in Murray, UT

Kendell Ryan Klingler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107 Phone: 208-390-7555
Ethan K Fisher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-733-5618
Jason Hafer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-455-8221
Dr. Jayaprakash Moodalagiriappa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-432-2668
Dr. Daniel Larsen Jacobs, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5801 S Fashion Blvd Ste 195, Murray, UT 84107 Phone: 801-829-7246 Fax: 801-655-9615
Dr. Michael Marshall Beck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675
Mr. Joshua C Peterson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675

Brenda K Blackham, MD - Anesthesiology in Murray, UT