| Brent Shepherd, MD | |
|
391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 | |
| (801) 581-4800 | |
| Not Available |
| Full Name | Brent Shepherd |
|---|---|
| Gender | Male |
| Speciality | Undefined Physician Type (specify) |
| Experience | 10 Years |
| Location | 391 S Chipeta Way Ste C, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770946998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 10421634-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1159 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Shepherd, MD 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 Ph: (801) 581-4800 | Brent Shepherd, MD 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 Ph: (801) 581-4800 |
Dr. Harriet W Hopf, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, U Of U Department Of Anesthesiology, Salt Lake City, UT 84158 Phone: 801-581-6393 Fax: 801-581-4367 | |
Dr. Jonathan Troy Hancock, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 65 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-581-2121 | |
Mrs. Alice Dowling, M.D., M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3837 E Sunnydale Ln, Salt Lake City, UT 84108 Phone: 801-583-0544 | |
Matthew Aiken, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 65 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-581-3841 | |
Dr. James R. Saullo, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111 Phone: 801-581-3841 | |
Dr. Mark Vernon Anderson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2390 S Redwood Rd, Salt Lake City, UT 84119 Phone: 801-975-1600 Fax: 801-975-1666 | |
Dr. Matthew Adams Hughes, M.D., M.P.H Preventive Medicine Medicare: Medicare Enrolled Practice Location: 391 Chipeta Way Ste C, Salt Lake City, UT 84108 Phone: 801-581-8719 Fax: 801-581-7224 |