National Provider Identifier Database

DAVID T BROCKBANK, MD – NPI #1093822561
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

DAVID T BROCKBANK, MD
1055 N 500 W STE 201
PROVO, UT84604-3305
Phone: 801-375-6565
Fax: 801-373-9750
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for DAVID T BROCKBANK

NPI Number 1093822561
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 02/25/2026 - About 3 months ago
Sole proprietor1 No
Identifiers
  • MO License #: T2003013455
  • UT License #: 6540468-1205
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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