Active NPI
Greogry J. Gulso, DPM
- Podiatrist
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 295236-0501
- Practice address
- 415 Medical Dr Ste C200
Bountiful, UT 84010-4973 - Phone
- (801) 294-8266
- Fax
- (801) 294-8265
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 295236-0501 | UT | Primary |
Addresses
Primary practice location
415 Medical Dr Ste C200
Bountiful, UT 84010-4973
Mailing address
415 Medical Dr Ste C200
Bountiful, UT 84010-4973
Phone (801) 294-8266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2950 N Church St
Suite 303
Layton, UT 84040-6590
Phone (801) 544-9441
415 Medical Dr
Suite C200
Bountiful, UT 84010-4973
Phone (801) 294-8266
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1342 |
| Removal or shaving of skin growth | 134 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295236-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulso Podiatry, LLC | Current | Accepting new patients | |
| David H Warby DPM | Podiatrist | Current | Accepting new patients |
Locations
415 Medical Dr
Ste C200
Bountiful, UT 84010
Phone (801) 294-8266
2950 N Church St
Ste 303
Layton, UT 84040
Phone (801) 544-9440
Interoperability endpoints
- gulsopodiatryllc.gulsogregoryj@145060.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Layton, UT
- NPI 1245260124
-
- Podiatric Clinic/Center
- Bountiful, UT
- NPI 1376688341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1316025323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MEDICAL DR STE C200",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104973",
"telephone_number": "801-294-8266",
"fax_number": "801-294-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MEDICAL DR STE C200",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104973",
"telephone_number": "801-294-8266",
"fax_number": "801-294-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULSO",
"first_name": "GREOGRY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "295236-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.