Individual provider Active NPI

Logan Douglas Birch, DPM

  • Podiatrist
  • Lehi, UT
National Provider Identifier
1053016592
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
14295383-0501 Issued in UT
Practice address
3401 N Thanksgiving Way Ste 190
Lehi, UT 84048-4157
Phone
(385) 454-5027
NPI assigned
Apr 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 14295383-0501 UT Primary

Addresses

Primary practice location

3401 N Thanksgiving Way Ste 190
Lehi, UT 84048-4157

Mailing address

3401 N Thanksgiving Way Ste 190
Lehi, UT 84048-4157
Phone (385) 454-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadzoom Health LLCGroup PAC ID 3476954793, 26 clinicians

Practice addresses (Care Compare)

3401 N Thanksgiving Way
Suite 190
Lehi, UT 84048-4157
Phone (859) 948-2390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1053016592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N THANKSGIVING WAY STE 190",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840484157",
            "telephone_number": "385-454-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N THANKSGIVING WAY STE 190",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840484157",
            "telephone_number": "385-454-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "LOGAN",
        "middle_name": "DOUGLAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "14295383-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.