Individual provider Active NPI

Andrew Harris Burgon, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Farr West, UT
National Provider Identifier
1407296189
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
41000293A Issued in IN
Practice address
1761 N 2000 W Ste 6
Farr West, UT 84404-9541
Phone
(801) 564-1562
Fax
(801) 689-2594
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 41000293A IN Primary

Addresses

Primary practice location

1761 N 2000 W Ste 6
Farr West, UT 84404-9541

Mailing address

2499 N 450 W
Harrisville, UT 84414-7209
Phone (435) 760-7313

Other identifiers 1

IdentifierTypeStateIssuer
9715370-0501OtherUTMEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000942 UT Practitioner - Podiatry 2264721208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1761 N 2000
Suite 6
Farr West, UT 84404-9541
Phone (801) 564-1562

Hospital & facility affiliations

  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue141
Removal of skin lesions11
Removal of nail tissue898
Removal or shaving of skin growth175
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41000293AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew H Burgon Podiatry LLC Foot & Ankle Surgery CurrentSince Mar 1, 2019 Accepting new patients

Locations

1761 N 2000 W
Ste 6
Farr West, UT 84404
Phone (801) 564-1562

1761 N 2000 W
Ogden, UT 84404
Phone (801) 731-4850

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1407296189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 N 450 W",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844147209",
            "telephone_number": "435-760-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 N 2000 W STE 6",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049541",
            "telephone_number": "801-564-1562",
            "fax_number": "801-689-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGON",
        "first_name": "ANDREW",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "41000293A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "9715370-0501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farr West, UT

Sources for this page

Verify at the official NPI Registry.