Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broc D Parker, DO

Individual provider Family Medicine Physician · NPI 1619389988

Broc D Parker, DO is a Family Practice in West Valley City, Utah. Graduated from Rocky Vista University College of Osteopathic Med in 2014, 12 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Utah.

Years since qualifying
12
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
MO, UT
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2965 W 3500 S
West Valley City, UT 84119-3602
Phone: (801) 965-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18th Medical Group, Apo, AP 96368-5142 — (315) 634-3131

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13846482-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2015026063 (MO)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 2015026063 (MO)

Record details

NPI number1619389988
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2014
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing address2965 W 3500 S, West Valley City, UT 84119-3602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2014 (12 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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