Active NPI
Aaron Spencer Brockbank, MD
- Surgery Physician
- Riverton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 361640-1205
- Practice address
- 3723 W 12600 S Ste 270
Riverton, UT 84065-7296 - Phone
- (801) 285-4620
- Fax
- (801) 285-4699
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 361640-1205 | UT | Primary |
Addresses
Primary practice location
3723 W 12600 S Ste 270
Riverton, UT 84065-7296
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
3847 Leonora Dr
Kettering, OH 45420-1236
Phone (937) 643-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- George Washington University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3723 W 12600
Suite 270
Riverton, UT 84065-7296
Phone (801) 285-4600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
3723 W 12600 S
Ste 270
Riverton, UT 84065
Phone (801) 285-4600
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Salt Lake Clinic Radiology
- Body Imaging Physician
- Salt Lake City, UT
- NPI 1073642757
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Riverton Hospital
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1568510626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 W 12600 S STE 270",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657296",
"telephone_number": "801-285-4620",
"fax_number": "801-285-4699"
}
],
"practiceLocations": [
{
"address_1": "3847 Leonora Dr",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454201236",
"country_code": "US",
"telephone_number": "937-643-1181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCKBANK",
"first_name": "AARON",
"middle_name": "SPENCER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "361640-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.