Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian K. Penrose, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1437508116

Brian K. Penrose, DPM is a Podiatry in Logan, Utah. Qualified in 2016, 10 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Indiana and Utah.

Years since qualifying
10
Licensed in
IN, UT
In the registry since
2016
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Partly verified

Some contact details are missing from the federal record.

1350 N 500 E
Logan, UT 84341-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 13232441-0501 (UT)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 07001313A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437508116
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address1350 N 500 E, Logan, UT 84341-2400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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