Healthcare Provider Details

I. General information

NPI: 1518832880
Provider Name (Legal Business Name): BRIAN PARROTT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S OREM BLVD
OREM UT
84058-5011
US

IV. Provider business mailing address

1106 E 600 N
OREM UT
84097-4362
US

V. Phone/Fax

Practice location:
  • Phone: 801-960-9622
  • Fax:
Mailing address:
  • Phone: 801-960-9622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: