Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Brandon Shawn Mickelson, PA-C
Physician Assistant in Draper, UT · enumerated 2024.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790544534
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Registry record
Entity type Individual (Type 1)
Name Brandon Shawn Mickelson
Credential PA-C
Sex Male
Practice address 11760 S 700 E Ste 112, Draper, UT, 84020
Phone (801) 882-9995
Fax (801) 882-9994
Enumeration date Mar 14, 2024
Last updated in NPPES May 9, 2024
Taxonomy & licenses
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Brandon Mickelson?
The National Provider Identifier (NPI) for Brandon Mickelson is 1790544534, a Type 1 (individual) record in the CMS NPPES registry.
Where does Brandon Mickelson practice?
The practice location on file with NPPES is in Draper, UT. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-09.