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

David Crockett

Individual provider Emergency Medicine Physician · NPI 1104351592

David Crockett is an Emergency Medicine in Salt Lake City, Utah. Qualified in 2017, 9 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Utah.

Years since qualifying
9
Licensed in
TN, UT
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

University Of Utah School Of Medicine 30 N 1900 E 1C026
Salt Lake City, UT 84132-2147
Phone: (801) 581-2417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 975 E 3rd St, Chattanooga, TN 37403-2147 — (423) 778-7673

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 11680436-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 59020 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104351592
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Salt Lake City