| Darrel Scott Brodke, MD | |
|
590 Wakara Way, Salt Lake City, UT 84108-1200 | |
| (801) 587-7109 | |
| Not Available |
| Full Name | Darrel Scott Brodke |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 37 Years |
| Location | 590 Wakara Way, 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 |
|---|---|---|---|
| 1407800311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 342621-1205 (Utah) | Secondary |
| 207X00000X | Orthopaedic Surgery | 342621-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Surgical Services | 6002130481 | 41 |
| Entity Name | University Of Utah Surgical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174928139 PECOS PAC ID: 6002130481 Enrollment ID: O20150112002158 |
| Entity Name | University Of Utah Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043614811 PECOS PAC ID: 2961726831 Enrollment ID: O20150123002141 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Entity Name | University Of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Darrel Scott Brodke, MD Po Box 413067, Slc, UT 84141-3067 Ph: (801) 213-3900 | Darrel Scott Brodke, MD 590 Wakara Way, Salt Lake City, UT 84108-1200 Ph: (801) 587-7109 |
Dr. Laura Ann Baker Lins, MD, MPH, ATC Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546 | |
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Kayla L. Gates, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448 | |
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429 |