Gibson, Brandt Ryan
Gibson, Brandt Ryan is an individual health care provider with primary practice located at 358 N 1100 E Ste 1 , American Fork UT 84003-3250. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Gibson, Brandt Ryan can be contacted via phone (801) 756-0765.Contact Information
Primary practice address
358 N 1100 E Ste 1
American Fork UT 84003-3250
Phone: (801) 756-0765
Fax: (081) 756-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 5093909-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 5093909-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 5093909-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 5093909-0501 | Utah |
Profile Details
| NPI number | 1841271095 |
|---|---|
| LBN Legal business name | Gibson, Brandt Ryan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Dec 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841271095 | NPPES |
| Utah | Other | 79031 | PEHP PIN |
| Utah | Other | 243399 | PEHP PIN |
| Utah | Other | 50939090500001 | PEHP PIN |
| Utah | Other | 107028407101 | PEHP PIN |
| Utah | Other | 27-00195 | PEHP PIN |
| Utah | Other | 882626 | PEHP PIN |
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