BRIAN K. PENROSE DPM NPI 1437508116

NPI Information

  • NPI: 1437508116
  • Provider Name: BRIAN K. PENROSE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1350 N 500 E
    LOGAN, UT
    ZIP 84341
  • Phone:

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NPI Details

Brian K. Penrose, DPM is a foot and ankle surgery podiatrist in Logan, UT with 10 years of experience. Brian K. Penrose, DPM NPI is 1437508116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1350 N 500 E
LOGAN, UT
ZIP 84341-400

The NPI 1437508116 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 6/3/2016 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery07001313AINDIANANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3213ES0103XPodiatristFoot & Ankle Surgery13232441-0501UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113232441-0501OTHERUTAHUTAH MEDICAL LICENSE
2000001366840OTHERINDIANAANTHEM
3738460022OTHERINDIANAMEDICARE
441000341AOTHERINDIANAIN MEDICAL LICENSE
5IN1933075OTHERINDIANAMEDICARE
6000001293859OTHERINDIANAANTHEM
7201375910MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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