NPIMap

Organization Active NPI

Cook Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Brigham City, UT
National Provider Identifier
1386065456
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
72759630501 Issued in UT
Legal business name
COOK FOOT AND ANKLE SPECIALISTS LLC
Practice address
990 Medical Dr
Suite U3
Brigham City, UT 84302-4713
Phone
(435) 734-9623
Fax
(435) 752-7159
NPI assigned
Dec 17, 2013
Organization subpart
Yes
Parent organization
COOK FOOT AND ANKLE SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Gregory B Cook, DPM
Title
Owner
Phone
(435) 752-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 72759630501 UT Primary

Addresses

Primary practice location

990 Medical Dr
Suite U3
Brigham City, UT 84302-4713

Mailing address

550 E 1400 N Ste B
Logan, UT 84341-2450
Phone (435) 752-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120117000872 UT Part B Supplier - Clinic/Group Practice 5799952693 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brigham City, UT; Logan, UT; Tremonton, UT
O20170420001702 UT DME Supplier - Physician - Podiatry 5799952693 Practice locations: Brigham City, UT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cook Foot and Ankle5 organizations share this tax ID, including this one
Part of
Cook Foot and Ankle

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1386065456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N STE B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412450",
            "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": "990 MEDICAL DR",
            "address_2": "SUITE U3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-9623",
            "fax_number": "435-752-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK FOOT AND ANKLE SPECIALISTS LLC",
        "enumeration_date": "2013-12-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-752-9011",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "72759630501",
            "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 Feb 17, 2026; 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.