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

Dr. Cole Delworth Gardner, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1063090561

Dr. Cole Delworth Gardner, DPM is a Podiatry in Montgomery, Ohio. Qualified in 2021, 5 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone: (513) 865-1111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3443 W 5600 S, Roy, UT 84067-9103 — (801) 773-4840

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 13689443-0501 (UT)

Record details

NPI number1063090561
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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