DR. BRANDON BIRG PARK M.D. NPI 1063675171

NPI Information

  • NPI: 1063675171
  • Provider Name: DR. BRANDON BIRG PARK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 389 S 900 E
    SALT LAKE CLINIC
    SALT LAKE CITY, UT
    ZIP 84102
  • Phone: (385) 282-2000

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NPI Details

DR. Brandon Birg Park, M.D. is a diagnostic radiology radiology in Salt Lake City, UT with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Brandon Birg Park, M.D. NPI is 1063675171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

389 S 900 E
SALT LAKE CLINIC
SALT LAKE CITY, UT
ZIP 84102-310
Phone: (385) 282-2000

The NPI 1063675171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)

The enumeration date for this NPI number is 7/8/2008 and was last updated on 11/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology8212530-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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