BRANDON D PARK (APRN) – Nurse Practitioner, NPI 1811960123
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,657 NURSE PRACTITIONER in UT
Provider Addresses for BRANDON D PARK (APRN)
PO BOX 5546
DENVER, CO 802175546
Phone: (801) 475-3500
Fax: (801) 475-3414
Type: Mailing
4700 HARRISON BLVD
OGDEN, UT 844034303
Phone: (801) 475-3300
Fax: (801) 475-3301
Type: Location
Ogden-Brigham Canal, Box Elder County, Utah, 84340, United States
OGDEN, UT 844150087
Phone: (801) 917-8000
Fax: (801) 917-8001
Type: Mailing
Adams Avenue Parkway, Washington Terrace, Weber County, Utah, 84408, United States
WASHINGTON TERRACE, UT 84405
Phone: (801) 917-8000
Fax: (801) 917-8001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $452.
Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Stryker Corporation ($124).
Total Amount
$452
General + Research + Ownership
Payments
18
Total payment records
General Amount
$452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $124 |
| DePuy Synthes Sales Inc. | $75 |
| Alexion Pharmaceuticals, Inc. | $73 |
| Globus Medical, Inc. | $41 |
| Heron Therapeutics, Inc. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041124000339 | I | Nurse Practitioner | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 77 | 52 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 63 | 27 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 53 | 26 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 52 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 34 | $0 |
Insurance plans in this area (ZIP 80217)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | UT | 20610 | Aspiration and/or injection of large joint or joint capsule | 84 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| P O D I A T R Y | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Qualified Speech Language Pathologist | CO | |
| N E U R O L O G Y | CO | |
| Family Practice, Sports Medicine | CO | |
| Neurology, Sleep Medicine | CO | |
| Nurse Practitioner | UT |
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