CMS-1500 Box 24J / 33a • NPI
1669463626
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
830 N 2000 W, PLEASANT GROVE, UT, 84062-4047
✓ 9-Digit EDI 837 ZIP+4 (84062-4047)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669463626 (ROGER D. BROCKBANK, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1669463626)
Medicare Beneficiaries
139
Total Billed Services
1,669
Distinct CPT/HCPCS Codes
88
Medicare Allowed Total
$74,290.79
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 33 |
77063 | Screening 3d breast mammography | 16 |
77067 | Screening mammography | 16 |
81003 | Automated urinalysis test | 18 |
83036 | Hemoglobin a1c level | 29 |
90662 | Influenza vaccine split virus, preservative free | 24 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 |
96372 | Injection of drug or substance under skin or into muscle | 25 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 28 | 19 |
| Alendronate Sodium Alendronate Sodium | 50 | 14 |
| Allopurinol Allopurinol | 21 | <11 |
| Alprazolam Alprazolam | 25 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 80 | 25 |
| Amoxicillin Amoxicillin | 19 | 16 |
| Atorvastatin Calcium Atorvastatin Calcium | 169 | 51 |
| Azithromycin Azithromycin | 18 | 17 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669463626 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROGER D. BROCKBANK, M.D. |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 830 N 2000 W, PLEASANT GROVE, UT, 84062-4047 |
| Practice Telephone / Fax | Tel: (801) 756-3511 | Fax: (801) 443-1164 |
| Administrative Mailing Address | 275 W 200 N, LINDON, UT, 84042-5009 |
| Enumeration & Last Sync | Enumerated: 2005-10-31 | CMS Record Updated: 2013-05-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in PLEASANT GROVE
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROGER D. BROCKBANK, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: UT | License: 4778712-1205 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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