Brockbank, David Thomas
Brockbank, David Thomas is an individual health care provider with primary practice located at 1055 N 500 W Ste 201 , Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brockbank, David Thomas can be contacted via phone (801) 375-6565.Contact Information
Primary practice address
1055 N 500 W Ste 201
Provo UT 84604-3305
Phone: (801) 375-6565
Fax: (801) 373-9750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 6540468-1205 | Utah |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | T2003013455 | Missouri |
Profile Details
| NPI number | 1093822561 |
|---|---|
| LBN Legal business name | Brockbank, David Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Feb 25th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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