Doctor profile · Federal record
Dr. Evan Crockett, MD
Urology Physician · Surgery Physician · Salt Lake City, UT
- NPI 1093448607
- 4 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
30 N Mario Capecchi Dr Rm 4S100
Salt Lake City, UT 84112
(801) 581-2121 - Additional location
-
3551 Roger Brooke Dr Bldg 3600
Fort Sam Houston, TX 782344504
(907) 310-6267
Credentials & registration
- NPI registered
- July 2022 — 4 yrs on file
- Profile last updated
- August 22, 2023
- Specialty taxonomy
- 208800000X — NUCC code
- State licenses (2)
- Utah #13548246-1205 · Texas #BP10080668
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093448607. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$87
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 2 | $39.33 | |
| PROGENICS PHARMACEUTICALS, INC. | 1 | $25.93 | |
| Laborie Medical Technologies Corp. | 1 | $21.71 |
By nature of payment
Frequently asked questions
What is Dr. Evan Crockett's medical specialty?
Dr. Evan Crockett practices Urology Physician in Salt Lake City, UT.
Where does Dr. Evan Crockett practice?
Dr. Evan Crockett practices at 30 N Mario Capecchi Dr Rm 4S100, Salt Lake City, UT 84112. Office phone: 8015812121.
What is Dr. Evan Crockett's NPI?
Dr. Evan Crockett's National Provider Identifier (NPI) is 1093448607, issued by NPPES.