NPI 1093822561

David Thomas Brockbank, MD

Practitioner Ophthalmology Physician Provo, UT

Practice location

Address: 1055 N 500 W STE 201, Provo, UT 84604-3305
Phone: (801) 375-6565
Fax: (801) 373-9750
Mailing address: 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 6540468-1205 (UT)

Other Ophthalmology providers in Utah →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence T2003013455 (MO)

Registry record

NPI: 1093822561
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2006
Record last updated: 25 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.