DR. BRAYDEN HUMPHERYS DPM
NPI 1003590373
Podiatrist - Foot & Ankle Surgery in Fort Dodge, IA
About Dr. Brayden Humpherys Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRAYDEN HUMPHERYS DPM (NPI 1003590373) is an individual foot & ankle surgery provider in Fort Dodge, Iowa, licensed in Iowa (121012) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Brayden Humpherys Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brayden Humpherys reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bountiful, UT 84010
- Reassigned Medicare billing, New Mexico enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT DODGE, IA 50501
FORT DODGE, IA 50501
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 Brayden Humpherys's NPI number?
The NPI number for Brayden Humpherys is 1003590373. It was assigned to this individual provider in the NPPES registry on June 14, 2023.
Where is Brayden Humpherys located?
Brayden Humpherys practices at 804 Kenyon Rd Ste 310, Fort Dodge, IA 50501. The listed phone number is (515) 302-8700.
What is Brayden Humpherys's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Brayden Humpherys enrolled in Medicare?
Yes. Brayden Humpherys is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brayden Humpherys's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brayden Humpherys reassigns Medicare benefits to Ryan K Anderson D P M P C (Bountiful, UT). The 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 Brayden Humpherys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brayden Humpherys was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Brayden Humpherys, DPM · NPI 1003590373
Foot & Ankle Surgery provider in Fort Dodge, Iowa. Individual provider, active in the CMS NPPES registry since June 14, 2023.
## Identity
- **NPI:** 1003590373 (Entity type: Individual)
- **Enumerated:** June 14, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 121012 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 804 KENYON RD STE 310, Fort Dodge, IA 50501-5746
- **Phone:** (515) 302-8700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ryan K Anderson D P M P C (NPI 1639200215, Bountiful, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003590373) · Data from the CMS NPPES public registry.