Gulso Podiatry, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

GULSO PODIATRY, LLC

Practice address

415 Medical Dr
C200
Bountiful, UT 84010-4946

Phone

(801) 294-8266

Fax

(801) 294-8265

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Gulso, DPM

Title

Member

Phone

(801) 294-8266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Greogry J. Gulso, DPM

  • Podiatrist
  • Bountiful, UT
  • NPI 1316025323
  Medicare reassignment NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1376688341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR",
            "address_2": "C200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104946",
            "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",
            "address_2": "C200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104946",
            "telephone_number": "801-294-8266",
            "fax_number": "801-294-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULSO PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "GULSO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-294-8266",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trey Bryant Grossenbach
• Elaina M Grotepas
• Alissa A Grover, D.C.
• Clint J. Grover, D.C.
• Andrew Gubler
• Greogry J. Gulso, DPM
• Sherri Gunn, FNP-C
• Gunnison Valley Hospital (Monument Healthcare Stonecreek)
• Gunnison Valley Hospital (Monument Healthcare North Park)
• Karine Julie Hachon, CRNA

• Podiatric Clinic/Center in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Podiatric Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.