DR. BRANDON BIRG PARK M.D.
NPI 1063675171
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
389 S 900 E, SALT LAKE CLINIC, SALT LAKE CITY, UT 84102(385) 282-2000 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brandon Birg Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON BIRG PARK M.D. (NPI 1063675171) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (8212530-1205) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of University Of Utah School Of Medicine (2007).

NPPES Registry Identity

NPI1063675171
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BRANDON BIRG PARKCredential: M.D.
Location Address389 S 900 E, SALT LAKE CLINICSalt Lake City, UT 84102-2310
Mailing Address389 S 900 E, Salt Lake ClinicSalt Lake City, UT 84102-2310 · (385) 282-2000
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2007
Enumeration DateJuly 8, 2008
Last NPPES UpdateNovember 4, 2013
NPI 1063675171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in UT · 8212530-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
389 S 900 E, Salt Lake City, UT 84102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon Birg Park M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325294085
PECOS Enrollment IDI20120813000062
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 53

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
8,160 services82 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
1,121 services1,069 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
1,060 services13 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
709 services626 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
293 services261 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
291 services285 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
389 S 900 E
SALT LAKE CITY, UT 84102
Podiatrist
389 S 900 E
SALT LAKE CITY, UT 84102
Internal Medicine (Endocrinology, Diabetes & Metabolism)
389 S 900 E
SALT LAKE CITY, UT 84102
Registered Nurse (Diabetes Educator)
389 S 900 E
SALT LAKE CITY, UT 84102
Physical Therapist
389 S 900 E
SALT LAKE CITY, UT 84102
Family Medicine
389 S 900 E
SALT LAKE CITY, UT 84102
Internal Medicine
389 S 900 E
SALT LAKE CITY, UT 84102
Psychiatry & Neurology (Neurology)
389 S 900 E
SALT LAKE CITY, UT 84102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Park's NPI number?

The NPI number for Brandon Park is 1063675171. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Brandon Park located?

Brandon Park practices at 389 S 900 E Salt Lake Clinic, Salt Lake City, UT 84102. The listed phone number is (385) 282-2000.

What is Brandon Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Brandon Park enrolled in Medicare?

Yes. Brandon Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandon Park accept?

Health plans from Select Health list Brandon Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandon Park affiliated with any hospitals?

According to CMS data, Brandon Park is affiliated with Lds Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Park was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.