MR. BRIAN BENNETT KOLDYKE MSN FNP-C NPI 1609203363

NPI Details

MR. Brian Bennett Koldyke, MSN, FNP-C is a family nurse practitioner in St George, UT with 13 years of experience. MR. Brian Bennett Koldyke, MSN, FNP-C NPI is 1609203363. 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:

577 S RIVER RD
ST GEORGE, UT
ZIP 84790-097
Phone: (435) 688-6262
Fax: (435) 688-6263

The NPI 1609203363 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), Power Mobility Devices.

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.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)

The enumeration date for this NPI number is 9/26/2013 and was last updated on 10/19/2023.

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: