W Bryce Cook DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1032580501 Issued in UT

Legal business name

W BRYCE COOK DPM INC

Doing business as

Foot Clinic of Logan

Practice address

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

Phone

(435) 752-9011

Fax

(435) 752-7159

NPI assigned

Jun 29, 2007

Last updated

Mar 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

W Bryce Cook, DPMNPI 1316989569

Title

Owner

Phone

(435) 752-9011

Specialties & licenses 1

Addresses

Other names 1

• FOOT CLINIC OF LOGAN Doing business as

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.

• W Bryce Cook, DPM

  • Podiatrist
  • Logan, UT
  • NPI 1316989569
  NPD (past) Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1689871857",
    "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": [],
    "basic": {
        "organization_name": "W BRYCE COOK DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "BRYCE",
        "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": "1032580501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT CLINIC OF LOGAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Verve Muscle Recovery
• Nichole Joy Virgil, OD
• Emma Joan Visser, RBT
• Harold Vonk, M.D.
• McKenna Christy Voorhees, RD
• W Reed Jaussi MD PC
• Sheila Romney Waddoups, PT
• Denice Stratford Wade
• Kassie Love Wade, MSW
• Kenneth Alan Wade, P.A

• Foot & Ankle Surgery Podiatrist in Logan, UT
• Providers in Logan, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.