Active NPI
Treg Corbridge, DPM
- Foot & Ankle Surgery Podiatrist
- Brigham City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 11824171-0501
- Practice address
- 903 S Main St Ste a
Brigham City, UT 84302-3112 - Phone
- (801) 515-7997
- NPI assigned
- Apr 9, 2019
- Last updated
- Jul 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 11824171-0501 | UT | Primary |
Addresses
Primary practice location
903 S Main St Ste a
Brigham City, UT 84302-3112
Mailing address
903 S Main St Ste a
Brigham City, UT 84302-3112
Phone (208) 690-0683
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
596 W 750
Suite 200
Bountiful, UT 84010-7281
Phone (801) 292-4425
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.91 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 95 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 254 |
| Removal or shaving of skin growth | 109 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corbridge Podiatry PLLC | Current | Accepting new patients | |
| Ryan K Anderson D P M P C | Foot & Ankle Surgery | Current | Accepting new patients |
| Utah Podiatric Physicians and Surgeons Group LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425
903 S Main St
Ste A
Brigham City, UT 84302
Phone (435) 515-3681
903 S Main St
Ste B
Brigham City, UT 84302
11762 S State St
Ste 340
Draper, UT 84020
Phone (801) 562-9294
434 W Ascension Way
Ste 425
Salt Lake City, UT 84123
475 40th St
Ste 111
South Ogden, UT 84403
Phone (385) 402-4097
5974 Fashion Point Dr
Ste 110
South Ogden, UT 84403
Phone (801) 386-4896
3465 S Pioneer Pkwy
Ste 3
West Valley City, UT 84120
Phone (801) 963-9335
596 W 750 S
Ste 300
Woods Cross, UT 84010
Phone (801) 518-4929
Interoperability endpoints
- allevioutah.tregcorbridge@161802.advancedmd-direct.com
Organizations & group practices 3
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.
-
dba Foot & Ankle Specialists of Utah
- Foot & Ankle Surgery Podiatrist
- Bountiful, UT
- NPI 1639200215
-
- Podiatrist
- Brigham City, UT
- NPI 1215626833
-
dba Utah Musculoskeletal Specialists
- Podiatrist
- Salt Lake City, UT
- NPI 1720795586
Foot & Ankle Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Brigham City Community Hospital
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1851854574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 S MAIN ST STE A",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023112",
"telephone_number": "208-690-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 S MAIN ST STE A",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023112",
"telephone_number": "801-515-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBRIDGE",
"first_name": "TREG",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "11824171-0501",
"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 Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.