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

Joseph W Vickroy, MD

Individual provider Neurology Physician · NPI 1104818442

Joseph W Vickroy, MD is a Neurology in Slc, Utah. Graduated from University of California, San Diego School of Medicine in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
44
Trained at
University of California, San Diego School of Medicine
Licensed in
UT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1200 E 3900 S
Slc, UT 84124-1300
Phone: (801) 294-6907
Fax: (801) 294-6917
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 90183895-1205 (UT)

Record details

NPI number1104818442
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 22, 2005
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address2708 Gallivan Loop, Park City, UT 84060-7074

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount