Mountain West Foot & Ankle Institute, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5093909-0501 Issued in UT

Legal business name

MOUNTAIN WEST FOOT & ANKLE INSTITUTE, PLLC

Practice address

358 N 1100 E Ste 1
American Fork, UT 84003-3250

Phone

(801) 756-0765

Fax

(801) 756-1405

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brandt Ryan Gibson, DPMNPI 1841271095

Title

President/Owner

Phone

(801) 756-0765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDBBAA

Practitioners 1

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

• Brandt Ryan Gibson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • American Fork, UT
  • NPI 1841271095
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1306029715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N 1100 E STE 1",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033250",
            "telephone_number": "801-756-0765",
            "fax_number": "801-756-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N 1100 E STE 1",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033250",
            "telephone_number": "801-756-0765",
            "fax_number": "801-756-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST FOOT & ANKLE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "BRANDT",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-756-0765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "5093909-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Morillo
• Kimberly Mortenson, NP
• Motion Worx, LLC
• Motivational Medicine
• Terrance Cole Motley, DPT, PT, MS, CSCS
• Douglas R Mower, M.D.
• Matthew Muhlestein
• Eric B Muir, DDS
• Scott Harris Mumford, M.D.
• Bruce T Murdock, D.M.D.

• Foot & Ankle Surgery Podiatrist in American Fork, UT
• Providers in American Fork, 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 Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.