NPIMap

Organization Active NPI

Corbridge Podiatry PLLC

  • Podiatrist
  • Brigham City, UT
National Provider Identifier
1215626833
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CORBRIDGE PODIATRY PLLC
Practice address
903 S Main St Ste a
Brigham City, UT 84302-3112
Phone
(801) 515-7997
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Treg Corbridge, DPMNPI 1851854574
Title
Owner
Phone
(801) 515-7997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

903 S Main St Ste a
Brigham City, UT 84302-3112

Mailing address

950 N Abbey Dr
North Salt Lake, UT 84054-5500
Phone (801) 515-7997

National Provider Directory

National Provider Directory

Locations

903 S Main St
Ste A
Brigham City, UT 84302
Phone (435) 515-3681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1215626833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N ABBEY DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840545500",
            "telephone_number": "801-515-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S MAIN ST STE A",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023112",
            "telephone_number": "801-515-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBRIDGE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "CORBRIDGE",
        "authorized_official_first_name": "TREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-515-7997",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.