Individual provider Active NPI

Treg Corbridge, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brigham City, UT
National Provider Identifier
1851854574
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
11824171-0501 Issued in UT
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628003474 UT Practitioner - Podiatry 2961882550 Reassigns benefits to 1 organization

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
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

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 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue95
Removal of skin lesions1-10
Removal of nail tissue254
Removal or shaving of skin growth109
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corbridge Podiatry PLLC CurrentSince May 11, 2023 Accepting new patients
Ryan K Anderson D P M P C Foot & Ankle Surgery CurrentSince Jun 1, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.