Individual provider Active NPI

Gregory Bryce Cook, DPM

  • Foot & Ankle Surgery Podiatrist
  • Logan, UT
National Provider Identifier
1558504548
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
72759630501 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
Apr 7, 2009
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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 72759630501 UT Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

990 Medical Dr Ste U3
Brigham City, UT 84302-4714
Phone (435) 734-9623

Other practice location 2

1041 S Medical Dr Ste 201
Brigham City, UT 84302-3293
Phone (435) 734-9623

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
I20090929000640 UT Practitioner - Podiatry 1951447259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions44
Removal of nail tissue60
Removal or shaving of skin growth59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72759630501UTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Foot and Ankle Specialists LLC CurrentSince Jul 1, 2009 Accepting new patients
Lumos Psychiatric Services LLC Current Accepting new patients
Cook Foot and Ankle Specialists LLC Podiatrist CurrentSince Oct 13, 2011 Accepting new patients

Locations

1041 S Medical Dr
Ste 201
Brigham City, UT 84302
Phone (435) 734-9623

990 S 500 W
Ste U3
Brigham City, UT 84302
Phone (435) 723-6487

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

2850 N 2000 W
Ogden, UT 84404
Phone (435) 752-9011

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1558504548",
    "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": "550 E 1400 N STE B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412450",
            "telephone_number": "435-752-9011",
            "fax_number": "435-752-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Medical Dr Ste U3",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843024714",
            "country_code": "US",
            "telephone_number": "435-734-9623",
            "fax_number": "435-752-7159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 S Medical Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023293",
            "country_code": "US",
            "telephone_number": "435-734-9623",
            "fax_number": "435-752-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "GREGORY",
        "middle_name": "BRYCE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "72759630501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.