Brenton Robinson, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

13342531-1205 Issued in UT

Practice address

5292 S College Dr Ste 302
Murray, UT 84123-2991

Phone

(801) 293-8100

NPI assigned

Apr 23, 2015

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Plastics Clinic LLC

  • Plastic Surgery Physician
  • South Jordan, UT
  • NPI 1184318826
  NPD (past)

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1598152852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5292 S COLLEGE DR STE 302",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232991",
            "telephone_number": "801-293-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5292 S COLLEGE DR STE 302",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232991",
            "telephone_number": "801-293-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BRENTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "13342531-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Konnie Roberts, OTR/L
• Christopher Alan Robertson, LCSW
• Margaret Anna Robertson, PT
• Michelle Robertson
• Aschylus Robinson, LCSW
• Glen Thomas Robinson, MD
• Jenna Kristine Robinson, APRN
• John G Robinson, M.D.,P.C.
• Kate Noelle Robinson, RN
• Lydia Robinson, PA-C

• Plastic Surgery Physician in Murray, UT
• Providers in Murray, UT by specialty
• Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.