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BRAYDON BOUWHUIS
NPI 1265277503
Physician Assistant in Willows, CA

Active since June 27, 2024PECOS Enrolled
207 N BUTTE ST, WILLOWS, CA 95988(530) 934-4641 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About Braydon Bouwhuis NPPES

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

BRAYDON BOUWHUIS (NPI 1265277503) is an individual physician assistant in Willows, California, licensed in California (PA65247) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265277503
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRAYDON BOUWHUIS
Location Address207 N BUTTE STWillows, CA 95988-2803
Mailing Address207 N Butte StWillows, CA 95988-2803 · (530) 934-4641
Phone(530) 934-4641
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 27, 2024
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1265277503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65247
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
207 N BUTTE ST, Willows, CA 95988
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Braydon Bouwhuis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214462969
PECOS Enrollment IDI20241119001195
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95988 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTINE MARIE HEMMEN RDH
Dental Hygienist
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-4641
NILOUFAR FARID MD
Psychiatry & Neurology (Psychiatry)
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-4641
KEVIN P LEE DDS
Dentist
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-4641
DR. NATALYA VOLONDIN DDS
Dentist
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-6980
DR. SAMAN KHALIL MANESH D.D.S.
Dentist
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-4641
NORMAN VIRAY BISDA ARNP
Nurse Practitioner (Family)
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-4641
CHIH-AI LU DDS
Dentist (General Practice)
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-9293
MANDI MCGILVRAY
Dental Hygienist
207 N BUTTE ST
WILLOWS, CA 95988
Glenn County (530) 934-4641

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 Braydon Bouwhuis's NPI number?

The NPI number for Braydon Bouwhuis is 1265277503. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Braydon Bouwhuis located?

Braydon Bouwhuis practices at 207 N Butte St, Willows, CA 95988. The listed phone number is (530) 934-4641.

What is Braydon Bouwhuis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Braydon Bouwhuis enrolled in Medicare?

Yes. Braydon Bouwhuis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Braydon Bouwhuis was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.