Brenda K Blackham, MD - Anesthesiology in Murray, UT

Brenda K Blackham, MD is a Anesthesiology physician based in Murray, Utah. Brenda K Blackham is licensed to practice in Utah (license number 90183338-1205) and her current practice location is 5770 Fashion Blvd, Murray, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 993-9582.

NPI number for Brenda K Blackham is 1174635494 and her current mailing address is 2975 Executive Pkwy, 200, Lehi, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174635494.

Contact Information

Brenda K Blackham, MD
5770 Fashion Blvd,
Murray, UT 84107-6548
(801) 993-9582
(801) 733-5618



Physician's Profile

Full NameBrenda K Blackham
GenderFemale
SpecialityAnesthesiology
Location5770 Fashion Blvd, Murray, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174635494
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Brenda K Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174635494NPI-NPPES
1189492500MedicaidWY
6761OtherUTHEALTHY U
870545614BL3OtherUTEDUCATORS MUTUAL
1502954OtherUTUMWA
73606OtherUTPEHP
107005709102OtherUTIHC
824723MedicaidAZ
QM0000075886OtherUTALTIUS
2090168OtherUTUNITED HEALTHCARE
PRA06458OtherUTMOLINA
305404OtherUTDESERET MUTUAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 90183338-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda K Blackham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brenda K Blackham, MD
2975 Executive Pkwy, 200,
Lehi, UT 84043-9642

Ph: (801) 990-1911
Brenda K Blackham, MD
5770 Fashion Blvd,
Murray, UT 84107-6548

Ph: (801) 993-9582

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› Verified 5 days ago


Anesthesiology Doctors in Murray, UT

Kendell Ryan Klingler, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107
Phone: 208-390-7555    
Ethan K Fisher, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-733-5618
Jason Hafer, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood St, Murray, UT 84107
Phone: 801-455-8221    
Dr. Jayaprakash Moodalagiriappa, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-432-2668
Dr. Michael Marshall Beck, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood St, Murray, UT 84107
Phone: 801-507-7000    Fax: 770-701-6675
Mr. Joshua C Peterson, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Murray, UT 84107
Phone: 801-507-7000    Fax: 770-701-6675
Scott Nathan Hurst, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-733-5618

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