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

Douglas L. Brockmeyer, MD

Individual provider Neurological Surgery Physician · NPI 1942390521

Douglas L. Brockmeyer, MD is a Pediatric Medicine in Salt Lake City, Utah. Qualified in 1983, 43 years ago. Practices with University of Utah Surgical Services, a 43-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
43
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Mario Capecchi Dr #1475
Salt Lake City, UT 84113-1103
Phone: (801) 662-5349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 178841-1205 (UT)

Record details

NPI number1942390521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address100 Mario Capecchi Dr, 1475, Salt Lake City, UT 84113-1103

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice University Of Utah Surgical Services — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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