W Bryce Cook, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1032580501 Issued in UT

Practice address

550 E 1400 N
Ste B
Logan, UT 84341-2450

Phone

(435) 752-9011

Fax

(435) 752-7159

NPI assigned

Jun 12, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cook Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Logan, UT
  • NPI 1548540313
  Medicare reassignment NPD
• W Bryce Cook

  dba Foot Clinic of Logan

  • Foot & Ankle Surgery Podiatrist
  • Brigham City, UT
  • NPI 1093948010
  Authorized official Same address or phone
• W Bryce Cook DPM Inc

  dba Foot Clinic of Logan

  • Foot & Ankle Surgery Podiatrist
  • Logan, UT
  • NPI 1689871857
  NPD (past) Authorized official
• Cook Foot and Ankle Specialists LLC

  • Podiatric Clinic/Center
  • Tremonton, UT
  • NPI 1487272365
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316989569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "STE 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": "550 E 1400 N",
            "address_2": "STE B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412450",
            "telephone_number": "435-752-9011",
            "fax_number": "435-752-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "W",
        "middle_name": "BRYCE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "1032580501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC #",
            "identifier": "1032580501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cook Foot and Ankle Specialists LLC
• Chloe Cook
• Danielle Cook
• Gregory Bryce Cook, DPM
• Joshua Cook
• William R. Cook, MSW, LCSW
• Peyton Rusty Coombs, NP
• Kim Corbin-Lewis, PH.D.
• Adella Corbridge
• Annel Cordero, M.A.

• Podiatrist in Logan, UT
• Providers in Logan, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.