Brian Kowallis Gardner, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Roosevelt, Utah. His current practice location is
210 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 722-6163.
Brian Kowallis Gardner is licensed to practice in Utah (license number 6297901-0501) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396943825.
Healthcare Provider's Profile
Full Name | Brian Kowallis Gardner |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 210 W 300 N, Roosevelt, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brian Kowallis Gardner attended and graduated from in
NPI Data:
- NPI Number: 1396943825
- Provider Enumeration Date: 07/05/2007
- Last Update Date: 05/11/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brian Kowallis Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396943825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 6297901-0501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Kowallis Gardner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brian Kowallis Gardner, DPM 210 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-6163 | Brian Kowallis Gardner, DPM 210 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-6163 |
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