Provider Demographics
NPI:1386775682
Name:DOXEY, BRETT W (MD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:W
Last Name:DOXEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6360 S 3000 E
Mailing Address - Street 2:#220
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6923
Mailing Address - Country:US
Mailing Address - Phone:801-944-3144
Mailing Address - Fax:801-944-3186
Practice Address - Street 1:3741 W 12600 S
Practice Address - Street 2:#470
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7215
Practice Address - Country:US
Practice Address - Phone:801-727-4280
Practice Address - Fax:801-254-8331
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2015-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT284609-1205207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT60651Medicaid
UT1386775682Medicare PIN