Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brock Haskell

Individual provider Physician Assistant · NPI 1821627746

Brock Haskell is a Physician Assistant in Draper, Utah. Qualified in 2019, 7 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Utah.

Years since qualifying
7
Licensed in
CA, UT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

11620 S State St Ste 1403
Draper, UT 84020-7124
Phone: (385) 302-7369
Fax: (385) 247-8023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2356 N 400 E Ste 201, Tooele, UT 84074-3409 — (435) 882-2350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11856179-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 57989 (CA)

Record details

NPI number1821627746
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Draper