BROCKBANK FOOT & ANKLE CLINIC PC
NPI 1952893703
Clinic/Center - Podiatric in Sandy, UT

Active since June 06, 2018
9690 S 1300 E STE 120, SANDY, UT 84094(801) 501-4335(801) 501-4338 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brockbank Foot & Ankle Clinic Pc NPPES

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

BROCKBANK FOOT & ANKLE CLINIC PC (NPI 1952893703) is a healthcare organization registered as a podiatric in Sandy, Utah and active in the NPI registry since June 2018. The organization lists Greg Brockbank, President, as its authorized official.

NPPES Registry Identity

NPI1952893703
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameBROCKBANK FOOT & ANKLE CLINIC PC
Location Address9690 S 1300 E STE 120Sandy, UT 84094-3798
Mailing Address9690 S 1300 E Ste 120Sandy, UT 84094-3798 · (801) 501-4335 · Fax (801) 501-4338
Fax(801) 501-4338
Organization SubpartNo
Authorized OfficialGreg BrockbankPresident · (509) 868-5865
Enumeration DateJune 6, 2018
✔ NPI 1952893703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in UT · 356685-0501
9690 S 1300 E STE 120, Sandy, UT 84094

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brockbank Foot & Ankle Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brockbank Foot & Ankle Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1710062849
123 W FRANCIS
Spokane, WA 99205
(509) 483-9363
✔ PECOS✔ Accepts Medicare566 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brockbank Foot & Ankle Clinic PC's NPI number?

The NPI number for Brockbank Foot & Ankle Clinic PC is 1952893703. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Brockbank Foot & Ankle Clinic PC located?

Brockbank Foot & Ankle Clinic PC is located at 9690 S 1300 E Ste 120, Sandy, UT 84094. The listed phone number is (801) 501-4335.

What is Brockbank Foot & Ankle Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Brockbank Foot & Ankle Clinic PC enrolled in Medicare?

Yes. Brockbank Foot & Ankle Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brockbank Foot & Ankle Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Brockbank Foot & Ankle Clinic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brockbank Foot & Ankle Clinic PC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Brockbank Foot & Ankle Clinic PC 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 Brockbank Foot & Ankle Clinic PC was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.