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

Mr. Brian Bennett Koldyke, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1609203363

Mr. Brian Bennett Koldyke, MSN, FNP-C is a Nurse Practitioner in St George, Utah. Qualified in 2013, 13 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2013
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

577 S River Rd
St George, UT 84790-2097
Phone: (435) 688-6262
Fax: (435) 688-6263
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5850890-4405 (UT)

Record details

NPI number1609203363
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , FNP-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2013
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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