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

Brock Bleazard

Individual provider Specialist · NPI 1548608763

Brock Bleazard is a Diagnostic Radiology in Cedar City, Utah. Qualified in 2013, 13 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Nevada and Utah.

Years since qualifying
13
Licensed in
NV, UT
In the registry since
2013
Specialties on file
2

Practice location Address checks out

1303 N Main St
Cedar City, UT 84721-9746
Phone: (435) 868-5300
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 11745801-1204 (UT)
Specialist Taxonomy 174400000X · Licence SL0941 (NV)

Record details

NPI number1548608763
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2013
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address1303 N Main St, Cedar City, UT 84721-9746

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cedar City