Brett Carroll
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
NPI 1417898552 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1417898552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1875 S Redwood Rd
Salt Lake City, UT 84104-5112 - Phone
- (801) 355-2846
- NPI assigned
- Apr 2, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1875 S Redwood Rd
Salt Lake City, UT 84104-5112
Mailing address
1875 S Redwood Rd
Salt Lake City, UT 84104-5112
Phone (801) 355-2846
Other providers in Salt Lake City, UT
- Roberta Carrillo Vega
- Ailyn Yahaira Carrillo
- Gustavo Carrillo
- Mireya Carrillo
- James Carrington
- Brett Lavar Carroll
- Erin Carroll
- Kelly D Carroll
- Kristen L. Carroll
- Melisa Lee Carroll
All providers in Salt Lake City, UT · Student in an Organized Health Care Education/Training Program in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.