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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID THOMAS BROCKBANK, MD

Active

DAVID THOMAS BROCKBANK, MD is a Ophthalmology healthcare provider located in PROVO, Utah. NPI 1093822561 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · PROVO, UT

Registration Details

NPI Number
1093822561
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2006 (19.830929531438 yrs)
Last Updated
Feb 25, 2026
Licenses
6540468-1205 (UT)
T2003013455 (MO)

Practice Information

Address
1055 N 500 W STE 201
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8013756565
Fax
8013739750
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology

Other Ophthalmology Providers in PROVO, UT

Name Credential NPI
DR. STEPHEN L DONALDSON MD 1578552634
MICHAEL HAMILTON MD 1972593838
DR. JAMES G THEURER MD 1083685101
DR. MATTHEW REED PARSONS MD 1063483071
NORMAN KENT LINTON M.D. 1114991429
THOMAS DYRENG MYERS M.D. 1023074093
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.