BROCK COLEMAN
NPI 1356040539
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since February 27, 2023
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112(801) 581-7498 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brock Coleman NPPES

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

BROCK COLEMAN (NPI 1356040539) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since February 2023. He maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1356040539
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBROCK COLEMAN
Location Address27 S MARIO CAPECCHI DRSalt Lake City, UT 84112-5888
Mailing Address233 N Redwood Rd Apt 237Salt Lake City, UT 84116-3918 · (801) 541-2092
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
NPI 1356040539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
27 S MARIO CAPECCHI DR, Salt Lake City, UT 84112

Secondary Practice Location 1

Location 150 N Medical DrSalt Lake City, UT 84132-0001 · Phone (801) 581-2121

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.

Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SLC, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112

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 Brock Coleman's NPI number?

The NPI number for Brock Coleman is 1356040539. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Brock Coleman located?

Brock Coleman practices at 27 S Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-7498.

What is Brock Coleman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brock Coleman was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.