Brookview Pain Management Inc

Organization Active NPI Emergency Medicine Physician · Ogden, UT

NPI 1659640639 · NPPES record last updated Feb 14, 2012

Key facts

NPI
1659640639
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
License
5110301-1205 (UT)
Legal business name
BROOKVIEW PAIN MANAGEMENT INC
Practice address
1186 E 4600 S
Suite 200
Ogden, UT 84403-4332
Phone
(801) 475-7246
Fax
(801) 303-7329
NPI assigned
Dec 21, 2011
Organization subpart
No

Authorized official

Name
Brett Joseph Earl, MD
Title
Owner
Phone
(801) 475-7246

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X 5110301-1205 UT Yes

Addresses

Primary practice location

1186 E 4600 S
Suite 200
Ogden, UT 84403-4332

Mailing address

1186 E 4600 S
Suite 200
Ogden, UT 84403-4332
Phone (801) 475-7246

Other providers in Ogden, UT

All providers in Ogden, UT · Emergency Medicine Physician in Utah

Sources for this page

Verify at the official NPI Registry.