DR. BRADEN RUSS BRKLACICH DPM NPI 1609397207

NPI Information

  • NPI: 1609397207
  • Provider Name: DR. BRADEN RUSS BRKLACICH, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12523 S CREEK MEADOW RD STE 105
    RIVERTON, UT
    ZIP 84065
  • Phone: (801) 253-6886

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NPI Details

DR. Braden Russ Brklacich, DPM is a foot and ankle surgery podiatrist in Riverton, UT with 9 years of experience. DR. Braden Russ Brklacich, DPM NPI is 1609397207. 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:2017

The provider's business location address is:

12523 S CREEK MEADOW RD STE 105
RIVERTON, UT
ZIP 84065-299
Phone: (801) 253-6886

The NPI 1609397207 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Detection test by nucleic acid for multiple organisms, amplified probe(s) technique (HCPCS:87801)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS:87641)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of fingernail or toenail (HCPCS:11755)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 7/5/2017 and was last updated on 2/22/2021.

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
1213ES0103XPodiatristFoot & Ankle Surgery10861469-0501UTAHYes

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: 11/21/2025

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