Individual provider Active NPI

Brett Sheldon Walker, M.D.

  • Diagnostic Radiology Physician
  • Murray, UT
National Provider Identifier
1386067478
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11264140-1205 Issued in UT
Practice address
5444 S Green St
Murray, UT 84123-5632
Phone
(801) 313-4110
NPI assigned
Jan 27, 2014
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 11264140-1205 UT Primary

Addresses

Primary practice location

5444 S Green St
Murray, UT 84123-5632

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, MI, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190603001584 UT Practitioner - Diagnostic Radiology 9638434384 Reassigns benefits to 2 organizations
I20240430003646 ID Practitioner - Diagnostic Radiology 9638434384 Reassigns benefits to 2 organizations
I20240528002936 MI Practitioner - Diagnostic Radiology 9638434384
I20260226002925 WA Practitioner - Diagnostic Radiology 9638434384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians
Tellica Imaging - Washington LLCGroup PAC ID 0648757393, 50 clinicians

Practice addresses (Care Compare)

14 Granada PL
Burley, ID 83318-2704
Phone (586) 464-0731

1501 Hiland Ave
Burley, ID 83318-2688
Phone (208) 678-4444

2941 S 38TH St
Suite E
Tacoma, WA 98409-5647
Phone (253) 534-8689

5444 S Green St
Summit Physician Specialists
Murray, UT 84123-5632
Phone (801) 525-7770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11264140-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Mar 20, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Ihc Health Services Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Tellica Imaging, LLC CurrentSince Feb 21, 2022 Accepting new patients
Tellica Imaging, LLC CurrentSince Mar 6, 2023 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Tellica Imaging, LLC CurrentSince Nov 7, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2024 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Tellica Imaging, LLC CurrentSince Apr 13, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 7, 2023 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jun 11, 2024 Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100

21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

5217 S State St
Salt Lake City, UT 84107
Phone (801) 313-4110

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

421 E Main St
Auburn, WA 98002
Phone (253) 204-2530

2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689

Interoperability endpoints

  • Direct secure messaging: bwalker1156845@direct.hfhs.org

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1386067478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 S GREEN ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "801-313-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRETT",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "11264140-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.