MEDICARE: BRENT FARR ROBERTSON M.D.

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	174400000X	Specialist	168260-1205	UT

General Provider Information

NPI Number	:	1437422995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENT FARR ROBERTSON M.D.

Provider Business Mailing Address
First Line	:	1321 E SOUTH TEMPLE
Second Line	:	5
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1830
Country	:	US
Telephone Number	:	801-643-5809
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 E SOUTH TEMPLE
Second Line	:	5
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1830
Country	:	US
Telephone Number	:	801-643-5809
Fax Number	:

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

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	02/14/2012

Similar Medicare Providers

1922954114 — SYDNEY PICKETT
Practice Location Address:

239 W 2100 S
SOUTH SALT LAKE, UT
84115-1830

Practice Phone: 385-212-2934
Practice Fax:

1962451567 — CARLA HUFFSTETLER MFT
Practice Location Address:

724 E 2100 S , SUITE B
S SALT LAKE, UT
84106-1830

Practice Phone: 801-487-0499
Practice Fax: 801-487-7005

1871516625 — DAVID S DUNCAN DO
Practice Location Address:

3934 S 2300 E
SALT LAKE CITY, UT
84124-1830

Practice Phone: 801-408-1980
Practice Fax:

1386757292 — KAREN R KELLEY MD
Practice Location Address:

3934 S 2300 E
SALT LAKE CITY, UT
84124-1830

Practice Phone: 801-408-1980
Practice Fax:

1104979541 — DR. RICHARD FISHER D.M.D.
Practice Location Address:

3950 S 2300 E
SALT LAKE CITY, UT
84124-1830

Practice Phone: 801-278-4783
Practice Fax:

1972724649 — MRS. JONELLE F. ORD M.ED., LPC
Practice Location Address:

724 E 2100 S
SALT LAKE CITY, UT
84106-1830

Practice Phone: 801-487-0499
Practice Fax:

Directions to “ BRENT FARR ROBERTSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.