Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT PICKETT
Active Sole ProprietorDR. BRENT PICKETT is a Sports Medicine healthcare provider located in LOGAN, Utah. NPI 1497281406 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LOGAN, UT
Registration Details
- NPI Number
- 1497281406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2017 (9.2160689792093 yrs)
- Last Updated
- Feb 17, 2022
- License
-
12423819-1204 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1350 N 500 ELOGAN, UT, 843412400Browse UT providers · Browse ZIP 84341
- Phone
- 4357162800
- Primary Specialty
-
Sports Medicine
207QS0010X
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.