IndividualActive
Bryan Berghout, DPM
NPI 1255411419 · Foot & Ankle Surgery Podiatrist · Everett, WA
Provider details
- NPI number
- 1255411419
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- PO00000813 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
10821 19th Ave Se
Everett, WA 98208-5103
Phone: (425) 337-7000
Fax: (425) 338-2408
Approximate (ZIP-level) locationGet directions
Mailing address
6405 S 3000 E Ste 201
Salt Lake City, UT 84121-6990
Additional practice locations (1)
- 965 E 700 SSaint George, UT 84790-4082Phone: (735) 775-2324
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.