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Active NPI 1811960123 Individual Practitioner Male Practitioner

Brandon D Park , APRN

Nurse Practitioner • Ogden, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brandon Park, APRN is a certified Nurse Practitioner practicing in Ogden, UT. With approximately 22 years of clinical experience since completing medical education in 2004, Brandon Park delivers high-quality medical care to the local community at 4700 HARRISON BLVD.

Brandon Park is affiliated with Ogden Clinic Specialty Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, computer-assisted surgery for muscle and bone procedure, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4700 Harrison Blvd

Ogden, UT 844034303

Telephone 8014753300
Fax 8014753301
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ogden, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +12.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
86 Specialists

Practicing in Ogden, UT (1143 Statewide)

Telehealth Adoption Rate
20.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (22 Years) 22 Yrs
Ogden Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
61 56 $261.89 $72.07
20985 Computer-assisted surgery for muscle and bone procedure
47 47 $415.33 $18.52
27447 Replacement of knee joint, both sides of knee
46 46 $4107.17 $180.33
20610 Aspiration and/or injection of fluid from large joint
35 23 $200.23 $55.02
27130 Replacement of thigh bone and hip joint with prosthesis
24 23 $3713.93 $165.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
19 15 $163.05 $45.46

Medical Specialties & State Licenses

CMS Verified: 2024-10-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 3749704405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ogden Clinic Specialty Services Llc

4700 Harrison Blvd, Ogden, UT 844034303

Phone: 8014753300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Brett Martindale , MD

Family Medicine - Sports Medicine

NPI 1164860573

Doctor of Medicine (M.D.)

Dennin Loomis , NP-C

Nurse Practitioner

NPI 1205494242

Nurse Practitioner (Certified)

Dr. Brent Baranko , MD

Orthopaedic Surgery

NPI 1306833967

Doctor of Medicine (M.D.)

Blake Mcmillan , PA-C

Physician Assistant

NPI 1356330153

Physician Assistant (Certified)

Dr. Brett Richards , MD

Orthopaedic Surgery - Hand Surgery

NPI 1356470033

Doctor of Medicine (M.D.)

Jaren Mills , PA-C

Physician Assistant

NPI 1396112041

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 25, 2024

Registered at 4700 HARRISON BLVD, OGDEN, UT 844034303 (Tel: 8014753300)

📍
Updated Business Mailing Address October 25, 2024

Registered at PO BOX 5546, DENVER, CO 802175546 (Tel: 8014753500)

📍
Updated Practice Location November 01, 2023

Registered at 425 E 5350 S STE 205, WASHINGTON TERRACE, UT 844056943 (Tel: 8017580206)

NPI Profile Active August 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2010

Registered at 5782 ADAMS AVENUE PARKWAY, WASHINGTON TERRACE, UT 84405 (Tel: 8019178000)

📍
Updated Business Mailing Address August 26, 2010

Registered at PO BOX 150087, OGDEN, UT 844150087 (Tel: 8019178000)

👤
Provider Name / Credentials Updated August 26, 2010

Recorded as BRANDON PARK, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2010

Nurse Practitioner (License #3749704405 in UT)

🟢
Initial NPI Registration & Enumeration February 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811960123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: October 25, 2024
Sole Proprietor: No

Mailing Address

Po Box 5546

Denver, CO 802175546

Phone: 8014753500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.