DR. BRANDON BIRG PARK M.D.
NPI 1063675171
Radiology - Diagnostic Radiology in Salt Lake City, UT
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Brandon Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1073642757 (Utah)
- 3,691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lds Hospital
Acute Care Hospitals · Salt Lake City, UTIntermountain Medical Center
Acute Care Hospitals · Murray, UTPhysician 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.
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.
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.
Which organization bills Medicare for Brandon Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Park reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Brandon Park affiliated with any hospitals?
According to CMS data, Brandon Park is affiliated with Lds Hospital and Intermountain Medical Center.
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 13 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.