NPIMap

Individual provider Active NPI

Brendan Lee Shevchik, PA-C

  • Physician Assistant
  • Park City, UT
National Provider Identifier
1205454428
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00001 Issued in KY
Practice address
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone
(435) 655-6600
Fax
(435) 655-2388
NPI assigned
Jul 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00001 KY Primary
Physician Assistant 363A00000X 14276118-1206 UT

Addresses

Primary practice location

900 Round Valley Dr Ste 100
Park City, UT 84060-7552

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

Other practice location 1

6340 S 3000 E Ste 200
Cottonwood Heights, UT 84121-3552
Phone (435) 655-6600

Other practice location 2

380 E 1500 S Ste 103
Heber City, UT 84032-3940
Phone (435) 655-6600

Other identifiers 1

IdentifierTypeStateIssuer
7100933610MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231026001200 KY Practitioner - Physician Assistant 9133510621 Reassigns benefits to 1 organization
I20260420002111 UT Practitioner - Physician Assistant 9133510621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenberg Cooley Metcalf LCGroup PAC ID 0042291510, 35 clinicians

Practice addresses (Care Compare)

2401 Terra Crossing Blvd
Louisville, KY 40245-5395

530 S Jackson St
Louisville, KY 40202-1675

550 S Jackson St
Louisville, KY 40202-1622

550 S Jackson St 2ND Floor
Louisville, KY 40202-1622
Phone (502) 583-8303

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

900 Round Valley Dr
Suite 100
Park City, UT 84060-7552
Phone (435) 655-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00001KYMDPhysician Assistant
14276118-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 10, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 10, 2023 Accepting new patients
Rosenberg Cooley Metcalf LC Past Accepting new patients
Rosenberg Cooley Metcalf LC PastSince Apr 28, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

550 S Jackson St
Fl 1
Louisville, KY 40202
Phone (502) 552-6503

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: bshevchik28382@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJFECD
  • Direct secure messaging: bshevchik38721@uoflhealth-dm.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1205454428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUND VALLEY DR STE 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607552",
            "telephone_number": "435-655-6600",
            "fax_number": "435-655-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6340 S 3000 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "841213552",
            "country_code": "US",
            "telephone_number": "435-655-6600",
            "fax_number": "435-655-2388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 E 1500 S Ste 103",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840323940",
            "country_code": "US",
            "telephone_number": "435-655-6600",
            "fax_number": "435-655-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEVCHIK",
        "first_name": "BRENDAN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "00001",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14276118-1206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100933610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.