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BRADEN THORNTON DO
NPI 1285336909
Student in an Organized Health Care Education/Training Program in Idaho Falls, ID

Active since March 17, 2023PECOS Enrolled
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 973-2144 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Braden Thornton Do NPPES

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

BRADEN THORNTON DO (NPI 1285336909) is an individual student in an organized health care education/training program in Idaho Falls, Idaho and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1285336909
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADEN THORNTONCredential: DO
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (208) 973-2144
Phone(208) 973-2144
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1285336909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3100 CHANNING WAY, Idaho Falls, ID 83404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Braden Thornton Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658739479
PECOS Enrollment IDI20260828002755
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.

Medicare Billing Reassignment

Medicare enrollment records show Braden Thornton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foothill Clinic, LLC
190 mi
Family Medicine
2295 FOOTHILL DR
Salt Lake City, UT 84109
  • Reassigned Medicare billing, Utah enrollment
  • 30 clinicians in this Medicare group
NPI 1407947005 (801) 486-3021

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 20

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

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
WALLACE LEONARD ARAVE PT
Physical Therapist
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-7999
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111

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 Braden Thornton's NPI number?

The NPI number for Braden Thornton is 1285336909. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Braden Thornton located?

Braden Thornton practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 973-2144.

What is Braden Thornton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Braden Thornton enrolled in Medicare?

Yes. Braden Thornton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Braden Thornton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Braden Thornton reassigns Medicare benefits to Foothill Clinic, LLC (Salt Lake City, 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 Braden Thornton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Braden Thornton accept?

Health plans from Select Health and University of Utah Health Plans list Braden Thornton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Braden Thornton was last updated on March 17, 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.