NPI 1366975914 · live from the CMS NPI Registry
Jacob Brandenburg, M.D.
Anesthesiology in Salt Lake City, UT. National Provider Identifier 1366975914, active.
NPI record
| NPI | 1366975914 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | School Of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 |
| Practice phone | 801-581-6393 |
| Enumerated | April 10, 2017 |
| Last updated | October 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 10970498-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.