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

Brock Haskell

Individual provider Physician Assistant · NPI 1821627746

Brock Haskell is a Physician Assistant in Draper, Utah. Qualified in 2019, 7 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Utah.

Years since qualifying
7
Licensed in
CA, UT
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11620 S State St Ste 1403
Draper, UT 84020-7124
Phone: (385) 302-7369
Fax: (385) 247-8023
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2356 N 400 E Ste 201, Tooele, UT 84074-3409 — (435) 882-2350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11856179-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 57989 (CA)

Record details

NPI number1821627746
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address11620 S State St Ste 1403, Draper, UT 84020-7124

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Draper