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

Individual provider Anesthesiology Physician · NPI 1639203664

Dr. Brandon Vashon Mack, MD is an Anesthesiology in Rock Springs, Wyoming. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
24
Licensed in
WY
In the registry since
2007
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

1200 College Dr
Rock Springs, WY 82901-5868
Phone: (307) 352-8326
Fax: (307) 352-8502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence TL799 (WY)

Record details

NPI number1639203664
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesINTERVENTIONAL PAIN MANAGEMENT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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