MEDICARE: MICHAEL BRETT ENGAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		UT

General Provider Information

NPI Number	:	1578418224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BRETT ENGAR

Provider Business Mailing Address
First Line	:	1122 E 700 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-3932
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4820 S HARPER ST
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84117-6209
Country	:	US
Telephone Number	:	801-230-8872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	03/06/2026

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Directions to “ MICHAEL BRETT ENGAR ” Practice Location

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