1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Physician Assistant
  6. NPI Profile

MR. GARRETT RYAN GUNDRY PA-C
NPI 1407373640
Physician Assistant - Medical in Logan, UT

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment
115 GOLF COURSE RD STE E, LOGAN, UT 84321(435) 999-4059(435) 213-2800 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Garrett Ryan Gundry Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARRETT RYAN GUNDRY PA-C (NPI 1407373640) is an individual medical provider in Logan, Utah, licensed in Utah (12819884-1206) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407373640
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. GARRETT RYAN GUNDRYCredential: PA-C
Location Address115 GOLF COURSE RD STE ELogan, UT 84321-5934
Mailing Address12002 N 5600 WCornish, UT 84308-1712 · (208) 380-0251
Phone(435) 999-4059
Fax(435) 213-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 28, 2017
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1407373640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · 12819884-1206
115 GOLF COURSE RD STE E, Logan, UT 84321
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Garrett Ryan Gundry Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911262902
PECOS Enrollment IDI20230911002287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$44.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON RAE GROBERG
Physician Assistant (Medical)
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 999-4059
MELISSA DE LEON MASON
Social Worker (Clinical)
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 799-5035
KAIMBRE WURSTEN
Social Worker (Clinical)
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 799-5035
MARTIN MEDICAL GROUP LLC
Physician Assistant
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 999-4059
STACIE ELISE LATER
Counselor (Mental Health)
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 535-3782
KALISITIANE ULUAVE
Social Worker (Clinical)
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 799-5035
BETHANY ANNE ALLRED CSW
Social Worker (Clinical)
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 799-5035
ALLIE LEEZER CSW
Counselor
115 GOLF COURSE RD STE E
LOGAN, UT 84321
Cache County (435) 799-5035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garrett Gundry's NPI number?

The NPI number for Garrett Gundry is 1407373640. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Garrett Gundry located?

Garrett Gundry practices at 115 Golf Course Rd Ste E, Logan, UT 84321. The listed phone number is (435) 999-4059.

What is Garrett Gundry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Garrett Gundry enrolled in Medicare?

Yes. Garrett Gundry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Garrett Gundry accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Garrett Gundry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Garrett Gundry was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.