LANDON RYAN BOWERBANK DPM NPI 1083234975

NPI Information

  • NPI: 1083234975
  • Provider Name: LANDON RYAN BOWERBANK, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3300 N RUNNING CREEK WAY BLDG C SUITE 300
    BLDG C SUITE 300
    LEHI, UT
    ZIP 84043
  • Phone: (801) 901-4333

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NPI Details

Landon Ryan Bowerbank, DPM is a foot and ankle surgery podiatrist in Lehi, UT with 5 years of experience. Landon Ryan Bowerbank, DPM NPI is 1083234975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2020

The provider's business location address is:

3300 N RUNNING CREEK WAY BLDG C SUITE 300
BLDG C SUITE 300
LEHI, UT
ZIP 84043
Phone: (801) 901-4333
Fax: (801) 901-4268

The NPI 1083234975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/21/2020 and was last updated on 6/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist13221936-0501UTAHNo
2213ES0103XPodiatristFoot & Ankle Surgery13221936-0501UTAHYes
3213ES0131XPodiatristFoot Surgery13221936-0501UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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