W Bryce Cook

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1032580501 Issued in UT

Legal business name

W BRYCE COOK

Practice address

990 Medical Dr
#U3
Brigham City, UT 84302-4713

Phone

(435) 734-9623

Fax

(435) 752-7159

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

W Bryce Cook, DPM

Title

Owner

Phone

(435) 752-9011

Specialties & licenses 1

Addresses

Other names 1

• FOOT CLINIC OF LOGAN Doing business as

Locations

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1093948010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "#B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-752-9011",
            "fax_number": "435-752-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "#U3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-9623",
            "fax_number": "435-752-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BRYCE COOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-752-9011",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "1032580501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT CLINIC OF LOGAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Dawn Voll
• Amjad Vongsengxay
• Adam Voss
• Brian Christopher Vranes, D.C.
• Vyv RX LLC
• Christopher Aaron Wade, LCSW
• Rebeckah Wade
• Kirk Russell Waldron, FNP-C
• Jocee Morrell Walk
• Derrick A Walker, D.O.

• Foot & Ankle Surgery Podiatrist in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.