Active NPI
Brenda Sheehan, DO
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1912949082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7861350-1204
- Practice address
- 2001 S State St Ste S2-500
Salt Lake City, UT 84190-0001 - Phone
- (385) 468-0555
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7861350-1204 | UT | Primary |
Addresses
Primary practice location
2001 S State St Ste S2-500
Salt Lake City, UT 84190-0001
Mailing address
172 Amsterdam Ave
New York, NY 10023-5034
Phone (212) 496-4600
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224944 | NY | MD | Family Medicine Physician |
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 | |
| St Lukes Roosevelt Community Care | Past | Accepting new patients | |
| Manhattan'S Physician Group | Family Medicine | Past | Accepting new patients |
| LHHN Medical, P.C. | Family Medicine | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
2001 S State St
Ste S2500
Salt Lake City, UT 84190
Phone (385) 468-0555
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Orthopaedic Surgery Physician
- Layton, UT
- NPI 1154842607
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Family Medicine Physician
- New York, NY
- NPI 1740222181
-
- Family Medicine Physician
- New York, NY
- NPI 1033154646
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912949082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235034",
"telephone_number": "212-496-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S STATE ST STE S2-500",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841900001",
"telephone_number": "385-468-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "BRENDA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "7861350-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.